Individual
CHANDRA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LADC
Contact information
Practice address
1654 WASHINGTON ST, BLAIR, NE 68008-1656
(402) 533-3680
(402) 478-5047
Mailing address
PO BOX 589, BLAIR, NE 68008-0589
(402) 533-3680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
731
NE
101YM0800X
Mental Health Counselor
Primary
2997
NE
Other
Enumeration date
01/16/2007
Last updated
01/29/2025
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