Individual
SUSAN PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC, MHP, LPC
Contact information
Practice address
113 STABLE CREEK DR, LAFAYETTE, LA 70506-5022
(337) 501-9646
Mailing address
113 STABLE CREEK DR, LAFAYETTE, LA 70506-5022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6222
LA
Other
Enumeration date
11/05/2015
Last updated
01/30/2017
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