Individual
MS. ELIZABETH ANNE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
324 E MAIN ST, NORTHVILLE, MI 48167-7400
(734) 619-0629
Mailing address
2795 WINDWOOD DR APT 155, ANN ARBOR, MI 48105-3402
(248) 504-1924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222268
MI
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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