Individual
MRS. CARY LEIGH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(425) 651-7490
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 60124112
WA
104100000X
Social Worker
Primary
LW60750069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046876
—
WA
Enumeration date
09/24/2009
Last updated
09/14/2017
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