Individual
MS. CORA MICHELLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3809 W 6200 S, KEARNS, UT 84118-3725
(801) 560-1548
Mailing address
360 E 700 S # 1, SALT LAKE CITY, UT 84111-4006
(801) 860-1516
(801) 575-8796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
319272-6004
UT
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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