Individual
BAILEY RENEE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
17235 N 75TH AVE STE E160, GLENDALE, AZ 85308-0829
(623) 738-5210
Mailing address
17235 N 75TH AVE STE E160, GLENDALE, AZ 85308-0829
(623) 738-5210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23530
AZ
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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