Individual
MARTINIQUE MICHELLE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1201 ARBOR DRIVE, SOUTH SIOUX CITY, NE 68776-2652
(402) 494-3337
(402) 494-3356
Mailing address
1201 ARBOR DRIVE, PO BOX 355, SOUTH SIOUX CITY, NE 68776-2652
(402) 494-3337
(402) 494-3356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1200
NE
101YM0800X
Mental Health Counselor
Primary
10285
NE
Other
Enumeration date
02/26/2014
Last updated
03/21/2023
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