Individual
BETH M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, LPC
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-7450
(682) 885-3308
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4433
(682) 885-3939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13960
TX
Other
Enumeration date
12/18/2006
Last updated
04/13/2021
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