Individual
AMELIA REEVES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
184 N RIVER RD, FORT EDWARD, NY 12828-2902
(978) 712-8661
Mailing address
184 N RIVER RD, FORT EDWARD, NY 12828-2902
(518) 817-6430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010081
NY
Other
Enumeration date
12/25/2020
Last updated
04/04/2024
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