Individual
ANDREW D PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7617 MINERAL POINT RD, STE 300, MADISON, WI 53717-1623
(608) 833-9290
(608) 833-9691
Mailing address
7617 MINERAL POINT RD, STE 300, MADISON, WI 53717-1623
(608) 833-9290
(608) 833-9691
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
102-228
WI
106H00000X
Marriage & Family Therapist
Primary
834-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114134087
—
WI
Enumeration date
05/17/2007
Last updated
01/19/2011
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