Individual
ALEXANDRIA GRAYCE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
675 E BIG BEAVER RD STE 207, TROY, MI 48083-1428
(248) 677-1421
Mailing address
303 E WINDEMERE AVE, ROYAL OAK, MI 48073-2618
(248) 310-8128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024099
MI
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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