Individual provider · Type 1 NPI
Beth M. Peterson, LPA, LPC
Professional Counselor · Fort Worth, TX
NPI number
1073676656
Active
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Fax (682) 885-3308
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13960 (TX) |
Professional Counselor: Definition to come...
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About NPI 1073676656
Beth M. Peterson, LPA, LPC's National Provider Identifier is 1073676656, issued on Dec 18, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 13, 2021.