Individual
AMELIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 S ALMA SCHOOL RD, A104, MESA, AZ 85210-3064
(480) 820-0825
Mailing address
4747 N 7TH ST, STE. 100, PHOENIX, AZ 85014-3653
(602) 279-7655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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