Individual
MRS. CASEY LIANE PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6399 S SANTA FE DR, LITTLETON, CO 80120-2912
(316) 304-3657
Mailing address
6399 S SANTA FE DR, LITTLETON, CO 80120-2912
(316) 304-3657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0018622
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20221898057
SECRETARY OF STATE
CO
01
—
LPC.0018622
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
08/21/2020
Last updated
09/23/2022
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