Individual
JESSICA BLAIR PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
41800 W 11 MILE RD STE 110, NOVI, MI 48375-1818
(947) 219-1283
Mailing address
41800 W 11 MILE RD STE 110, NOVI, MI 48375-1818
(947) 219-1283
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401016415
MI
101YP2500X
Professional Counselor
Primary
6401018211
MI
Other
Enumeration date
12/19/2018
Last updated
11/30/2023
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