Individual
VERNITA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
28475 GREENFIELD RD STE 213, SOUTHFIELD, MI 48076-3034
(313) 244-8019
(248) 557-7480
Mailing address
28475 GREENFIELD RD. SUITE 213, SOUTHFIELD, MI 48076
(313) 244-8019
(248) 557-7480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013015
MI
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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