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Individual

MS. CHERI ANN PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,LMFT, LAC

Contact information

Practice address
21 1ST ST NW # 2, CHOTEAU, MT 59422-9423
(406) 868-6902
Mailing address
PO BOX 727, BYNUM, MT 59419-0727
(406) 868-6902

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-1065
MT
1041C0700X
Clinical Social Worker
L7004
OR
1041C0700X
Clinical Social Worker
LCSW-760
WY
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-709
MT
106H00000X
Marriage & Family Therapist
SWP-LMFT-LIC-91
MT

Other

Enumeration date
08/09/2006
Last updated
06/02/2019
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