Organization
DANNA M. PETERSON, LPC, CMHC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNA MARIE PETERSON M.ED. (PROVIDER)
(602) 510-0665
Entity
Organization
Contact information
Practice address
2252 KINGMAN AVE, KINGMAN, AZ 86401-4838
(602) 510-0665
(765) 227-4798
Mailing address
2252 KINGMAN AVE, KINGMAN, AZ 86401-4838
(602) 510-0665
(765) 227-4798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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