Individual
ASHLEY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 16TH ST SW, WAVERLY, IA 50677-2822
(319) 352-2630
Mailing address
1019 MAPLEWOOD DR APT 310, CEDAR FALLS, IA 50613-5366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
092694
IA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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