Individual provider · Type 1 NPI

Gregory Howard Peterson

Mental Health Counselor · Vancouver, WA

NPI number 1063818409 Active

Practice location

1498 SE Tech Center Pl Ste 300
Vancouver, WA 98683-5509

Mailing address

531 N Horns Corner Dr
Ridgefield, WA 98642-8072

Other practice locations

  • 531 N Horns Corner Dr, Ridgefield, WA 98642-8072 · (503) 389-0786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC3885 (OR)
Mental Health Counselor Primary 101YM0800XLH60514544 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1063818409

Gregory Howard Peterson's National Provider Identifier is 1063818409, issued on Nov 12, 2014. 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 24, 2025.