Individual provider · Type 1 NPI

Benjamin David Peterson

Mental Health Counselor · Corvallis, OR

NPI number 1083987903 Active

Practice location

4455 NE Hw 20, Children's Farm Home
Corvallis, OR 97330

Call (541) 758-5900 Map

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083987903

Benjamin David Peterson's National Provider Identifier is 1083987903, issued on Feb 23, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corvallis, OR. The record was last updated on Jul 19, 2017.