Individual
MRS. JODI SANDRA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC PROF COUNSELOR
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
(860) 892-7043
Mailing address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
(860) 444-8776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001529
CT
Other
Enumeration date
10/17/2007
Last updated
11/15/2019
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