Individual
DEBORAH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 COLLEGE AVE, CLEMSON, SC 29631-2804
(864) 654-2111
Mailing address
1002 COLLEGE AVE, CLEMSON, SC 29631-2804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
SC
101YP2500X
Professional Counselor
Primary
2072
SC
Other
Enumeration date
01/11/2007
Last updated
08/06/2007
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