Michelle Danielle Peterson, LPC

NPI #1598117939 in Midland Park, New Jersey

Provider Information

NPI Number: 1598117939
Entity Type: Individual
Name: Michelle Danielle Peterson, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jul 11, 2016
Last Updated: Jul 28, 2016

Practice Location

Address: 27 HIAWATHA CT
City: Midland Park
State: New Jersey
ZIP Code: 07432-1005
Phone: (856) 373-8639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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