Individual provider · Type 1 NPI

Samuel Peterson

Professional Counselor · Anchorage, AK

NPI number 1013547306 Active

Practice location

4600 Debarr Rd
Anchorage, AK 99508-3103

Mailing address

13100 Biscayne Cir
Anchorage, AK 99516-2740

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X154793 (AK)
Professional Counselor Primary 101YP2500X154793 (AK)

Professional Counselor: Definition to come...

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About NPI 1013547306

Samuel Peterson's National Provider Identifier is 1013547306, issued on Jan 25, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Anchorage, AK. The record was last updated on Jan 25, 2020.