Individual
MARIAH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
130 CENTER ST, KEYSER, WV 26726-3520
(304) 788-1113
(304) 788-2777
Mailing address
130 CENTER ST, KEYSER, WV 26726-3520
(304) 788-1113
(304) 788-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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