Most Relevant Information
Provider Data
| NPI Number: | 1003063694 |
| Provider Name: | REGINA PETERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2008 |
| Last Updated: | 08/26/2008 |
Provider Practice Location
1601 23RD AVE S
3RD FLOOR
NASHVILLE
TN
372123133
Practice Location Phone/Fax
| Phone: | 6153277009 |
| Fax: | 6153434595 |
Provider Mailing Location
1601 23RD AVE S
3RD FLOOR
NASHVILLE
TN
372123133
Provider Mailing Phone/Fax
| Phone: | 6153277009 |
| Fax: | 6153434595 |