Individual
SARAH JANE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 MAIN ST STE 21, GREEN BAY, WI 54302-1307
(920) 391-5369
Mailing address
1234 MAIN ST STE 21, GREEN BAY, WI 54302-1307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3531226
WI
101YP2500X
Professional Counselor
Primary
7838125
WI
Other
Enumeration date
01/23/2020
Last updated
06/09/2020
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