Individual
AMANDA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
6512 23RD AVE NW, SEATTLE, WA 98117-5728
(206) 502-5941
Mailing address
902 11TH AVE, FOX ISLAND, WA 98333-9689
(618) 365-3494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010021554
MO
Other
Enumeration date
07/07/2010
Last updated
10/28/2022
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