| Doctor Name: | DEBRA ANN PETERS |
| NPI Number: | 1245581925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW, LPC |
| License Number: | 6401006602 |
| Business Practice Address: | 2180 44th St Se Suite 108 Kentwood, MI - 495085323 |
| Business Phone Number: | 6164551499 |
| Business Fax Number: | 6164551499 |
| Mailing Address: | 2180 44th St Se, Suite 108 KENTWOOD |
| State: | MI |
| Postal Code: | 495085323 |
| Phone Number: | 6164551499 |
| Fax Number: | 6164551499 |
| NPI Enumeration Date: | 09/21/2012 |
| NPI Last Update Date: | 09/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401006602 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |