Individual
AMY KATHLEEN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
3424 CHICAGO DR, HUDSONVILLE, MI 49426-1408
(616) 426-9034
Mailing address
14480 WOODBROOK DR, HOLLAND, MI 49424-1466
(616) 283-4285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023106
MI
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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