Individual
MRS. AIMEE LEAH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
(269) 321-8564
(269) 321-8641
Mailing address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012494
MI
106H00000X
Marriage & Family Therapist
4101006494
MI
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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