Individual
KATHRYN WINSLOW PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
912 CHEROKEE ST, MARYVILLE, TN 37804-5124
(512) 417-6012
Mailing address
912 CHEROKEE ST, MARYVILLE, TN 37804-5124
(512) 417-6012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6071
TN
Other
Enumeration date
06/27/2024
Last updated
07/11/2024
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