Individual
BRANDY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
239 E 5TH ST, CHASE CITY, VA 23924-1431
(434) 372-3002
(434) 372-3007
Mailing address
239 E 5TH ST, CHASE CITY, VA 23924-1431
(434) 372-3002
(434) 372-3007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006110
VA
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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