Samuel Peterson

NPI #1154181261 in Paducah, Kentucky

Provider Information

NPI Number
1154181261
Entity Type
Individual
Name
Samuel Peterson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 19, 2024
Last Updated
Mar 19, 2024

Practice Location

Address
425 BROADWAY ST
ZIP Code
42001-0713
Phone
(270) 442-7121

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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