Individual provider · Type 1 NPI

Mary Petersen

Mental Health Counselor · Orlando, FL

NPI number 1417306267 Active

Practice location

13561 Lakes Way
Orlando, FL 32828-8154

Call (407) 388-8305 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH12418 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1417306267

Mary Petersen's National Provider Identifier is 1417306267, issued on Jun 11, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Jun 11, 2016.