Individual
MRS. MARY LOUISE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WAVERLY RD, HOLSTON COUNSELING, KINGSPORT, TN 37664
(423) 224-1300
(423) 224-1321
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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