Individual
MS. PAULETTE RUTH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
8 HARRIS STREET, NEWBURYPORT, MA 01950
(617) 447-4044
Mailing address
8 HARRIS STREET, NEWBURYPORT, MA 01950
(617) 447-4044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMHC
MA
101YM0800X
Mental Health Counselor
LMHC3341
MA
106H00000X
Marriage & Family Therapist
LMFT
MA
106H00000X
Marriage & Family Therapist
Primary
LMFT819
MA
Other
Enumeration date
12/14/2007
Last updated
01/24/2013
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