Individual
AMANDA LILY PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
262 MIDLAND POINT RD, CARBONDALE, CO 81623-2311
(970) 379-9869
Mailing address
262 MIDLAND POINT RD, CARBONDALE, CO 81623-2311
(970) 379-9869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0018504
CO
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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