Petersen, Nancy June

Petersen, Nancy June is an sole proprietor health care provider with primary practice located at 1419 Main St , Torrington WY 82240-3340. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Petersen, Nancy June can be contacted via phone (307) 532-4197.

Contact Information

Primary practice address
1419 Main St Torrington WY 82240-3340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1579 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X 20687 South Dakota

Profile Details

NPI number 1568815074
LBN Legal business name Petersen, Nancy June
Credentials M.S., L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2016
Last updated Jul 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568815074 NPPES
South Dakota Other LPC20687 SOUTH DAKOTA BOARD OF EXAMINERS FOR COUNSELORS & MARRIAGE & FAMILY THERAPISTS
South Dakota Other 1579 SOUTH DAKOTA BOARD OF EXAMINERS FOR COUNSELORS & MARRIAGE & FAMILY THERAPISTS

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