Individual
MS. AMY PETERBURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT, LPC-IT
Contact information
Practice address
10922 N CEDARBURG RD, MEQUON, WI 53092-4304
(262) 242-3810
(262) 242-3816
Mailing address
10922 N CEDARBURG RD, MEQUON, WI 53092-4304
(262) 242-3810
(262) 242-3816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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