Individual provider · Type 1 NPI

Mary Peterson, ASW

Mental Health Counselor · Sebastopol, CA

NPI number 1053926766 Active

Practice location

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607

Fax (707) 823-3410

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW94291 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1053926766

Mary Peterson, ASW's National Provider Identifier is 1053926766, issued on Sep 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sebastopol, CA. The record was last updated on Nov 27, 2023.