Individual
ERIN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 WYNGATE LN, BUFFALO GROVE, IL 60089-1446
(847) 224-0058
Mailing address
741 WYNGATE LN, BUFFALO GROVE, IL 60089-1446
(847) 224-0058
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178007659
IL
101YP2500X
Professional Counselor
Primary
180009287
IL
Other
Enumeration date
07/19/2014
Last updated
09/05/2014
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