Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003046723 |
---|---|
Provider Name | Alison Peters |
First Address | Southern Pines, NC 28387-6538 |
Second Address | West End, NC 27376 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2009 |
Last Update Date | 15/07/2009 |