Individual
KURT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
230 W WELLS ST, ROOM 500, MILWAUKEE, WI 53203-1866
(414) 290-0444
(414) 226-0351
Mailing address
230 W WELLS ST, ROOM 500, MILWAUKEE, WI 53203-1866
(414) 290-0444
(414) 226-0351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4880-125
WI
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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