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Mary Petersen
Mental Health Counselor in Orlando, Florida
NPI 1417306267

Mary Petersen is a Mental Health Counselor based in Orlando, FL and is specialized in Mental Health. Mary Petersen practices in Orlando, FL. The NPI Number for Mary Petersen is 1417306267 and holds a License No. IMH12418 (Florida).

The current practice location address for Mary Petersen is 13561 Lakes Way, Orlando, FL and can be reached out via phone at 407-388-8305.

Location: 13561 Lakes Way, Orlando, FL, 32828-8154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417306267
Provider Name
Mary Petersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
13561 Lakes Way, Orlando, FL, 32828-8154
Phone Number
407-388-8305
Fax Number
Provider Enumeration Date
06/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13561 Lakes Way
City
Orlando
State
Florida
Zip
32828-8154
Phone Number
407-388-8305
Fax Number
person
Provider Business Mailing Address Details
Address
13561 Lakes Way
City
Orlando
State
Florida
Zip
32828-8154
Phone Number
407-388-8305
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH12418 (Florida)
Definition
Definition to come...
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