Individual provider · Type 1 NPI

Amanda Jo Peterson, LLPC

Professional Counselor · Greenville, MI

NPI number 1154857993 Active

Practice location

6728 Vining Rd
Greenville, MI 48838-9784

Fax (616) 225-8226

Mailing address

PO Box 1767
Grand Rapids, MI 49501-1767

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401014778 (MI)

Professional Counselor: Definition to come...

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About NPI 1154857993

Amanda Jo Peterson, LLPC's National Provider Identifier is 1154857993, issued on May 11, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, MI. The record was last updated on May 11, 2017.