Individual
GRACE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
40 BURTON HILLS BLVD STE 200, NASHVILLE, TN 37215-5902
(646) 941-7645
(929) 596-7897
Mailing address
743 VELMA ST, MEMPHIS, TN 38104-5246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5099
TN
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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