Individual
MS. KIM J PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPCC
Contact information
Practice address
55 NORTH MAIN STREET, SUITE B, CENTERVILLE, OH 45459
(937) 434-4333
(937) 435-1718
Mailing address
55 NORTH MAIN STREET, SUITE B, CENTERVILLE, OH 45459
(937) 434-4333
(937) 435-1718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0002432
OH
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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