Jamie Miranda Peterson

NPI #1295086635 in Farmington, New Mexico

Provider Information

NPI Number: 1295086635
Entity Type: Individual
Name: Jamie Miranda Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 25, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 406 AIRPORT DR
City: Farmington
State: New Mexico
ZIP Code: 87401-5518
Phone: (505) 325-5358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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