Individual provider · Type 1 NPI

Lisa M. Petersen, LMHP

Counselor · Council Bluffs, IA

NPI number 1063707305 Active

Practice location

801 Harmony St, Suite 302
Council Bluffs, IA 51503-3106

Call (712) 328-2609 Map

Fax (712) 328-9257

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X8871 (NE)
Counselor Primary 101Y00000X001501 (IA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063707305

Lisa M. Petersen, LMHP's National Provider Identifier is 1063707305, issued on Jun 15, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Council Bluffs, IA. The record was last updated on Aug 3, 2015.