Individual
ADRIENNE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.PSY.
Contact information
Practice address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
(240) 750-6467
Mailing address
9707 KEY WEST AVE STE 100, ROCKVILLE, MD 20850-3992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2022
Last updated
09/19/2023
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