Individual
JERI L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6492
NC
Other
Enumeration date
05/03/2007
Last updated
04/04/2013
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