DIANE J. PETERSON

PROVO, UT
NPI1164574018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  97-323498-3902)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
Mrs. DIANE J. PETERSON LMFT
3325 N UNIVERSITY AVE SUITE 300
PROVO, UT 84604-4465
Phone number: 801-226-3008
Mailing Address
Mrs. DIANE J. PETERSON LMFT
241 E 4200 N
PROVO, UT 84604-5010
Phone number: 801-226-3424
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