Individual
MR. MICHAEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
2540 FLOWOOD DR, SUITE A, FLOWOOD, MS 39232-9362
(601) 939-5993
Mailing address
2540 FLOWOOD DR, SUITE A, FLOWOOD, MS 39232
(601) 939-5993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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