Stacie Peterson, Lcmhc, Lpc, Llc | |
242 S Bragg Blvd Spring Lake NC 28390-3929 | |
(919) 346-3733 | |
Not Available |
Full Name | Stacie Peterson, Lcmhc, Lpc, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 242 S Bragg Blvd, Spring Lake, North Carolina |
Authorized Official Name and Position | Stacie Peterson (COUNSELOR) |
Authorized Official Contact | 9193463733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacie Peterson, Lcmhc, Lpc, Llc 614 Elwood Dr Duncan SC 29334-8995 Ph: () - | Stacie Peterson, Lcmhc, Lpc, Llc 242 S Bragg Blvd Spring Lake NC 28390-3929 Ph: (919) 346-3733 |
NPI Number | 1891402384 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 11/03/2022 |
Certification Date | 11/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891402384 | NPI | - | NPPES |
11188 | Other | NC | LCMHC LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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