Individual
LEIF PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
731 N WEBER ST STE 100, COLORADO SPRINGS, CO 80903-1019
(719) 331-5463
Mailing address
838 MESA VALLEY RD, COLORADO SPRINGS, CO 80907-5904
(719) 331-5463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16678
CO
Other
Enumeration date
11/29/2020
Last updated
05/07/2021
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