Organization
GABRIELLE PETERSON, M.S. LMFT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE THERESE PETERSON M.S. (LMFT PLLC)
(352) 367-1110
Entity
Organization
Contact information
Practice address
2631 NW 41ST ST, BLDG E, SUITE 1, GAINESVILLE, FL 32606-7470
(352) 367-1110
Mailing address
2631 NW 41ST ST, BLDG E, SUITE 1, GAINESVILLE, FL 32606-7470
(352) 367-1110
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z3685
BLUE CROSS/BLUE SHIELD INSURANCE
FL
Enumeration date
03/24/2010
Last updated
03/29/2010
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