| 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 |
|---|---|
| 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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