Individual
MICHAEL C PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1385
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010
—
KS
01
—
19019035
BCBS OF KC
—
Enumeration date
09/26/2006
Last updated
07/23/2010
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