Nicole Petersen

NPI #1043104177 in Edmond, Oklahoma

Provider Information

NPI Number: 1043104177
Entity Type: Individual
Name: Nicole Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 4, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 1019 WATERWOOD PKWY STE B
City: Edmond
State: Oklahoma
ZIP Code: 73034-5329
Phone: (405) 648-8978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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