Individual
CARISSA S PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
335 CHANDLER ST, WORCESTER, MA 01602-3441
(508) 753-2967
(508) 767-3095
Mailing address
335 CHANDLER ST, WORCESTER, MA 01602-3441
(508) 753-2967
(508) 767-3095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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