Individual
KAITLYN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
(216) 543-5232
Mailing address
17306 MADISON AVE, LAKEWOOD, OH 44107-3533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.240435
OH
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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