Individual
JOCELYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
17 FOLKINGHAM LN, BELLA VISTA, AR 72715-3042
(479) 586-7712
Mailing address
PO BOX 5032, BELLA VISTA, AR 72714-0032
(479) 586-7712
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1612199
AR
106H00000X
Marriage & Family Therapist
M1706022
AR
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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