Individual provider · Type 1 NPI

Angel Peterson

Mental Health Counselor · Vancouver, WA

NPI number 1003407578 Active

Practice location

6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XMC61245796 (WA)

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About NPI 1003407578

Angel Peterson's National Provider Identifier is 1003407578, issued on Jan 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Apr 25, 2022.