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Individual

PATTI K PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3610 NW BLUE JACKET DR, LEES SUMMIT, MO 64064-3012
(816) 510-1172
(816) 373-1128
Mailing address
3610 NW BLUE JACKET DR, LEES SUMMIT, MO 64064-3012
(816) 510-1172
(816) 373-1128

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002238
MO
101YP2500X
Professional Counselor
157
KS

Other

Enumeration date
09/17/2006
Last updated
04/20/2013
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