Individual
BROOKE NOEL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
547 S CLARK ST APT 1001, CHICAGO, IL 60605-1547
(630) 803-1062
Mailing address
547 S CLARK ST APT 1001, CHICAGO, IL 60605-1547
(630) 803-1062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178013712
IL
101YP2500X
Professional Counselor
Primary
180013512
IL
Other
Enumeration date
03/23/2018
Last updated
05/11/2021
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