Individual
ANGELA RENEE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2400 S 48TH ST, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1505078
AR
101YP2500X
Professional Counselor
Primary
P1807092
AR
170300000X
Genetic Counselor (M.S.)
—
—
Other
Enumeration date
06/04/2006
Last updated
07/25/2018
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