Individual
BRITTANY J PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC, CMHC
Contact information
Practice address
470 W 200 N UNIT 131, SALT LAKE CITY, UT 84103-1692
(417) 214-3158
Mailing address
470 W 200 N UNIT 131, SALT LAKE CITY, UT 84103-1692
(417) 214-3158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13755821-6004
UT
101YP2500X
Professional Counselor
2020028432
MO
106H00000X
Marriage & Family Therapist
Primary
13755821-3902
UT
106H00000X
Marriage & Family Therapist
202002768
MO
Other
Enumeration date
08/26/2020
Last updated
02/07/2025
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