Individual
KIMBERLY SUE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
205 HAMMOCK TRL E APT B109, FREEPORT, FL 32439-7659
(217) 972-2321
Mailing address
2408 LOS OLIVOS CT, FRANKLIN, TN 37069-1441
(217) 972-2321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007435
IL
Other
Enumeration date
04/19/2010
Last updated
05/29/2023
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