Individual
MS. KRISTEN MARIE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1395 ATWOOD AVE, SUITE 203A, JOHNSTON, RI 02919-4929
(401) 262-0210
Mailing address
1395 ATWOOD AVE, SUITE 203A, JOHNSTON, RI 02919-4929
(401) 262-0210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW02228
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202995889
—
RI
Enumeration date
08/06/2012
Last updated
10/18/2015
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