Elysa Petersen, LMHC

NPI #1649312406 in Rockledge, Florida

Provider Information

NPI Number: 1649312406
Entity Type: Individual
Name: Elysa Petersen, LMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LMHC
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1770 CEDAR ST
City: Rockledge
State: Florida
ZIP Code: 32955-3133
Phone: (321) 634-6257

Specialties & Taxonomy Codes

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

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