Individual
KERSTIN R PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAS
Contact information
Practice address
436 W PARK ST, CARY, NC 27511-3115
(919) 467-0753
Mailing address
436 W PARK ST, CARY, NC 27511-3115
(919) 467-0753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1385
NC
101YP2500X
Professional Counselor
Primary
1385
NC
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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