Search › Florida › 103T00000X
Diane Petersen, LMHC
NPI 1821227141 · on the registry since 2009
Practice
- Address
- 2020 Talley Rd
Leesburg, FL 34748 - Phone
- (352) 315-7800
- Fax
- (352) 360-6582
- Organisation at this address
- Lifestream Behavioral Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida