Amanda Ruth Petersen, MSW
NPI #1154760627 in Baker City, Oregon
Provider Information
- NPI Number
- 1154760627
- Entity Type
- Individual
- Name
- Amanda Ruth Petersen, MSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSW
- Enumeration Date
- Jun 18, 2013
- Last Updated
- Jun 18, 2013
Practice Location
- Address
- 2200 4TH ST
- City
- Baker City
- State
- Oregon
- ZIP Code
- 97814-2615
- Phone
- (541) 523-3646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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