Individual provider · Type 1 NPI
Sara Alice Peterson, LPC
Professional Counselor · Atlanta, GA
NPI number
1902813124
Active
Practice location
455 E Paces Ferry Rd NE, Suite 312
Atlanta, GA 30305-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC006395 (GA) |
| Professional Counselor | 101YP2500X | 3595-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1902813124
Sara Alice Peterson, LPC's National Provider Identifier is 1902813124, issued on Aug 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Mar 26, 2012.