Individual
MRS. JAIME CHRISTINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 W. DRAKE RD, SUITE 270, FORT COLLINS, CO 80526
(970) 305-5822
(970) 286-2906
Mailing address
333 W. DRAKE RD, SUITE 270, FORT COLLINS, CO 80526
(970) 305-5822
(970) 286-2906
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
CSW09923503
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923503
CO
Other
Enumeration date
08/24/2006
Last updated
07/21/2022
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