Doctor Name: | SUE ANN PETERSON |
NPI Number: | 1699929489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLBSW |
License Number: | RC00050041 |
Business Practice Address: | 4400 S Saginaw St Ste 1460 Flint, MI - 485072664 |
Business Phone Number: | 8102370799 |
Business Fax Number: | |
Mailing Address: | 1408 Avenue A, FLINT |
State: | MI |
Postal Code: | 485031410 |
Phone Number: | 8108444022 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00050041 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |