person
Mary Anne Peterson, LCSW-R
Counselor in Cortland, New York
NPI 1134568892

Mary Anne Peterson is a Counselor based in Cortland, NY. Mary Anne Peterson practices in Cortland, NY and has the professional credentials of LCSW-R. The NPI Number for Mary Anne Peterson is 1134568892 and holds a License No. R052643 (New York).

The current practice location address for Mary Anne Peterson is 165 Main St., Cortland, NY and can be reached out via phone at 607-753-0234 and via fax at 607-753-0286.

Location: 165 Main St., Cortland, NY, 13045-2130
person
Provider Profile Details
NPI Number
1134568892
Provider Name
Mary Anne Peterson
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Female
Address
165 Main St., Cortland, NY, 13045-2130
Phone Number
607-753-0234
Fax Number
607-753-0286
Provider Enumeration Date
06/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336163963 05 NY
institution
Provider Business Practice Location Address Details
Address
165 Main St.
City
State
Zip
13045-3049
Phone Number
607-753-0234
Fax Number
607-753-0286
person
Provider Business Mailing Address Details
Address
165 Main St.
City
State
Zip
13045-3049
Phone Number
607-753-0234
Fax Number
607-753-0286
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
R052643 (New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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