Individual
HEIDI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
324 S ATLANTIC ST, DILLON, MT 59725-2719
(406) 241-2422
Mailing address
PO BOX 1261, DILLON, MT 59725-1261
(406) 241-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
27113
MT
Other
Enumeration date
12/19/2018
Last updated
09/24/2020
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