Individual
PAMELA SUE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4136 LEGACY PKWY, LANSING, MI 48911-4265
(517) 882-3732
Mailing address
2230 MAPLE DR, JACKSON, MI 49203-3623
(517) 849-2333
(517) 796-2785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008493
MI
Other
Enumeration date
06/23/2017
Last updated
08/14/2023
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