Lisa M Petersen, LMHP
NPI #1063707305 in Council Bluffs, Iowa
Provider Information
- NPI Number
- 1063707305
- Entity Type
- Individual
- Name
- Lisa M Petersen, LMHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- LMHP
- Enumeration Date
- Jun 15, 2011
- Last Updated
- Aug 3, 2015
Practice Location
- Address
- 801 HARMONY ST
- Address 2
- SUITE 302
- City
- Council Bluffs
- State
- Iowa
- ZIP Code
- 51503-3106
- Phone
- (712) 328-2609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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