Courtney Petersen
Courtney Petersen is a Peer Specialist in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
330 CommerceGrand Rapids, MI 49503
Phone: (616) 258-7599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1295567865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 13, 2024 |
| Mailing address | 330 Commerce Ave. Sw, Grand Rapids, MI 49503 |
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