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Individual

AMBER PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
840 W IRVING PARK RD STE 302, CHICAGO, IL 60613-3011
(773) 659-9207
Mailing address
14 W ELM ST APT 1204, CHICAGO, IL 60610-7143

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
07/22/2022
Last updated
07/22/2022
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