Individual
CORRIN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5600 W 95TH ST STE 207, OVERLAND PARK, KS 66207-2968
(913) 213-3398
Mailing address
5600 W 95TH ST STE 207, OVERLAND PARK, KS 66207-2968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2960
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-2758688
—
KS
Enumeration date
04/15/2018
Last updated
06/11/2019
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