MS. Judeth Petersen, M.A., LPC

NPI #1033263652 in Gillette, Wyoming

Provider Information

NPI Number: 1033263652
Entity Type: Individual
Name: MS. Judeth Petersen, M.A., LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.A., LPC
Enumeration Date: Jan 22, 2007
Last Updated: Aug 25, 2011

Practice Location

Address: 501 S BURMA AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-3426
Phone: (307) 688-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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