Peterson, Kathryn Louise

Peterson, Kathryn Louise is an individual health care provider with primary practice located at 115 E Birch Ave , Flagstaff AZ 86001-4609. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Kathryn Louise can be contacted via phone (928) 213-0068.

Contact Information

Primary practice address
115 E Birch Ave Flagstaff AZ 86001-4609
Phone: (928) 213-0068
Fax: (928) 774-4367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-4048 Arizona

Profile Details

NPI number 1003856634
LBN Legal business name Peterson, Kathryn Louise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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