Individual
CHELSEA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
862 SOUTH MAIN STREET, SUITE #4, BRIGHAM CITY, UT 84302-3320
(435) 723-1799
Mailing address
123 E 100 N, NEWTON, UT 84327
(435) 757-2710
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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