Individual
KRISTEN NOEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89118
(702) 209-0370
(702) 405-0935
Mailing address
6655 W SAHARA AVE STE D110, LAS VEGAS, NV 89146-0846
(702) 365-0600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3071
NV
106H00000X
Marriage & Family Therapist
MI0861
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2015
Last updated
01/12/2021
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