Individual
ANITA KAY PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5336 KEWLEY LN, MANHATTAN, KS 66503-8463
(785) 532-9693
Mailing address
5336 KEWLEY LN, MANHATTAN, KS 66503-8463
(785) 532-9693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2755
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14284866
CAQH
—
01
—
2755
BEHAVIORAL SCIENCES REGULATORY BOARD
KS
Enumeration date
12/03/2018
Last updated
12/03/2018
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