Individual
MISS CARLY ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
100 PINEWILD DR # 2A, ROCHESTER, NY 14606-4200
(585) 368-6700
Mailing address
16 1/2 HOMESTEAD DR, FAIRPORT, NY 14450-1537
(585) 545-0496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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