LISA M PETERSEN

COUNCIL BLUFFS, IA
NPI1063707305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IA  001501)
Additional Taxonomies101Y00000X Counselor
(Licence: NE  8871)
Enumeration Date2011-06-15
Last Update Date2015-08-03
Business Address
-- LISA M PETERSEN LMHP
801 HARMONY ST SUITE 302
COUNCIL BLUFFS, IA 51503-3106
Phone number: 712-328-2609
Mailing Address
-- LISA M PETERSEN LMHP
7261 MERCY RD
OMAHA, NE 68124-2311
Phone number: 402-398-6248
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