Individual
MRS. AMANDA ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
64 ELDREDGE ST, NEWTON, MA 02458-2017
(617) 969-4925
Mailing address
16 JOHNSWOOD RD, ROSLINDALE, MA 02131-3748
(617) 327-5554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
309667
MA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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