NPI 1033263652

Judeth Petersen, MALPC

Practitioner Counselor Gillette, WY

Practice location

Address: 501 S Burma Ave, Gillette, WY 82716-3426
Phone: (307) 688-5000
Fax: (307) 688-5015

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LPC-1129 (WY)

Other Counselor providers in Wyoming →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1512 (ND)

Registry record

NPI: 1033263652
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2007
Record last updated: 25 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.