Individual
COURTNEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3111 SPRINGBANK LN STE I, CHARLOTTE, NC 28226-3373
(855) 675-4144
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017479
NC
Other
Enumeration date
09/30/2025
Last updated
10/24/2025
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