Individual
ANDREA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2378 MARITIME DR STE 100, ELK GROVE, CA 95758-3641
(916) 849-1273
Mailing address
2378 MARITIME DR STE 100, ELK GROVE, CA 95758-3641
(916) 849-1273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
69319
CA
106H00000X
Marriage & Family Therapist
Primary
85722
CA
Other
Enumeration date
01/09/2012
Last updated
09/15/2015
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