Individual
DR. LINDA F PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC., NCC
Contact information
Practice address
10828 SAINT CHARLES ROCK RD, SAINT ANN, MO 63074-1508
(314) 368-2409
(314) 442-4139
Mailing address
523 SAPPHIRE DR, O FALLON, MO 63366-1889
(314) 368-2409
(314) 442-4139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2010009686
MO
101YP2500X
Professional Counselor
Primary
2010009686
MO
101YS0200X
School Counselor
0455347
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49296908
—
MO
Enumeration date
04/04/2010
Last updated
01/26/2024
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