Individual
EMILY CARTER PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8806 NC HIGHWAY 87, REIDSVILLE, NC 27320-7363
(336) 634-3250
Mailing address
1029 FRANCES DR, REIDSVILLE, NC 27320-7012
(336) 342-4297
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001
NC
Other
Enumeration date
06/13/2009
Last updated
06/13/2009
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