Individual provider · Type 1 NPI

Jonathan David Peters, MA, LPCC, LADC

Mental Health Counselor · Chicago, IL

NPI number 1003547977 Active

Practice location

867 N Dearborn St
Chicago, IL 60610-3310

Fax (312) 943-3530

Mailing address

5534 N Kenmore Ave Apt 309
Chicago, IL 60640-1544

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304604 (MN)
Mental Health Counselor Primary 101YM0800XCC03364 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1003547977

Jonathan David Peters, MA, LPCC, LADC's National Provider Identifier is 1003547977, issued on Jun 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jul 10, 2024.