MS. Cora Michelle Peterson, LPC

NPI #1447441464 in Kearns, Utah

Provider Information

NPI Number: 1447441464
Entity Type: Individual
Name: MS. Cora Michelle Peterson, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 3809 W 6200 S
City: Kearns
State: Utah
ZIP Code: 84118-3725
Phone: (801) 560-1548

Specialties & Taxonomy Codes

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

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