Individual
EMILY TRAVIS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1506 W HORSETOOTH RD UNIT 6204, FORT COLLINS, CO 80526-2893
(630) 699-4993
Mailing address
1537 RIVERSIDE AVE, FORT COLLINS, CO 80524-4386
(970) 999-9422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0020194
CO
Other
Enumeration date
12/08/2021
Last updated
01/22/2024
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