Individual provider · Type 1 NPI

Benjamin Bradley Peterson

Mental Health Counselor · Fort Collins, CO

NPI number 1093563769 Active

Practice location

3521 Stanford Rd Apt 308-0312
Fort Collins, CO 80525-4079

Call (612) 408-9870 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093563769

Benjamin Bradley Peterson's National Provider Identifier is 1093563769, issued on May 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on May 8, 2024.