Diane Petersen's National Provider Identifier (NPI) Details
Diane Petersen, LMHC
NPI: 1821227141
Enumeration Date: 2009-07-08
Last updated: 2020-03-19
Sole Proprietor: NO
Status: active
Postal Address: 2020 TALLEY RD, LEESBURG, FL
Phone: 352-315-7800
Primary Practice Address: 204 WESTWOOD DR, LEESBURG, FL
Practice's phone: 352-315-7800