Individual
AMY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
1200 HILYARD ST STE 460, EUGENE, OR 97401-8165
(458) 205-6566
Mailing address
1200 HILYARD ST STE 460, EUGENE, OR 97401-8165
(458) 205-6566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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