Individual
HAYLEY CAROLINE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CSAC, LPC
Contact information
Practice address
3136 CRAIG RD, EAU CLAIRE, WI 54701-6109
(715) 552-2431
Mailing address
3136 CRAIG RD, EAU CLAIRE, WI 54701-6109
(715) 552-2431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16368-132
WI
101YM0800X
Mental Health Counselor
7214-125
WI
171M00000X
Case Manager/Care Coordinator
16368-132
WI
Other
Enumeration date
01/26/2021
Last updated
02/10/2021
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