Most Relevant Information
Provider Data
NPI Number: | 1003335472 |
Provider Name: | JULIE KRISTINE PETERS LCPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 180.015939 |
Most Important Dates
Enumeration Date: | 09/16/2017 |
Last Updated: | 09/06/2024 |
Provider Practice Location
2000 W PIONEER PKWY STE 14
PEORIA
IL
616151882
Practice Location Phone/Fax
Phone: | 3095501001 |
Fax: |
Provider Mailing Location
2712 TELEGRAPH AVE
BERKELEY
CA
947051117
Provider Mailing Phone/Fax
Phone: | 5105488283 |
Fax: |