Individual
CARLA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
2125 HEIGHTS DR, SUITE 2D, EAU CLAIRE, WI 54701-6146
(715) 832-8432
(715) 832-5007
Mailing address
2125 HEIGHTS DR, SUITE 2D, EAU CLAIRE, WI 54701-6146
(715) 832-8432
(715) 832-5007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2897-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39792100
—
WI
Enumeration date
01/03/2007
Last updated
06/18/2010
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