Individual
MR. CRAIG MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
280 BROAD ST STE E, KERNERSVILLE, NC 27284-2948
(336) 277-6050
(336) 992-3141
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-6050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103751
—
NC
Enumeration date
05/22/2008
Last updated
10/26/2020
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