Individual
STEPHANIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W WILLIE MORRIS PKWY, YAZOO CITY, MS 39194-7702
(601) 638-0031
Mailing address
635 W WILLIE MORRIS PKWY, YAZOO CITY, MS 39194-7702
(601) 638-0031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MS
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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