Individual
LISA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 W LANDIS AVE STE 1, VINELAND, NJ 08360-8132
(856) 772-5809
(856) 772-5852
Mailing address
60 W LANDIS AVE STE 1, VINELAND, NJ 08360-8132
(856) 772-5809
(856) 772-5852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
02/26/2026
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