Individual
PAULA MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
505 S DEWEY ST, SUITE 208, EAU CLAIRE, WI 54701-3704
(715) 832-1678
(715) 832-6680
Mailing address
505 S DEWEY ST, SUITE 208, EAU CLAIRE, WI 54701-3704
(715) 832-1678
(715) 832-6680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3934-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3934-125
STATE OF WI LPC LICENTURE
WI
05
—
43719000
—
WI
Enumeration date
11/13/2008
Last updated
09/20/2010
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