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Individual

STACY PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
117 PARK DR S STE A, GREAT FALLS, MT 59401-3612
(406) 781-4973
(406) 403-0222
Mailing address
PO BOX 2851, GREAT FALLS, MT 59403-2851
(406) 781-4973
(406) 403-0222

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
18900
MT
101YM0800X
Mental Health Counselor
18900
MT
101YP2500X
Professional Counselor
Primary
18900
MT

Other

Enumeration date
08/11/2016
Last updated
02/09/2022
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