Individual
ALISHA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 N WAYNE RD STE 300, WESTLAND, MI 48185-1137
(313) 721-2192
Mailing address
PO BOX 35831, DETROIT, MI 48235-0831
(313) 721-2192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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