Individual
NANCY JUNE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
1419 MAIN ST, TORRINGTON, WY 82240-3340
(307) 532-4197
Mailing address
2326 E G ST, TORRINGTON, WY 82240-2518
(308) 637-2062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1579
WY
101YP2500X
Professional Counselor
Primary
20687
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1579
WYOMING MENTAL HEALTH PROFESSIONS LICENSING BOARD
WY
01
—
LPC20687
SOUTH DAKOTA BOARD OF EXAMINERS FOR COUNSELORS & MARRIAGE & FAMILY THERAPISTS
SD
Enumeration date
07/20/2016
Last updated
07/23/2022
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