Individual
MS. JANAE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
595 E 930 S, PLEASANT GROVE, UT 84062-3635
(801) 601-9107
Mailing address
595 E 930 S, PLEASANT GROVE, UT 84062-3635
(801) 601-9107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8743664-6009
UT
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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