Individual
EMELYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MA/SSP
Contact information
Practice address
725 W CENTRAL AVE STE 208, MISSOULA, MT 59801-6800
(406) 546-8529
(406) 540-1432
Mailing address
725 W CENTRAL AVE STE 208, MISSOULA, MT 59801-6800
(406) 546-8529
(406) 540-1432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-74102
MT
Other
Enumeration date
06/13/2022
Last updated
11/12/2024
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