Individual provider · Type 1 NPI
Tandice Peterson
Mental Health Counselor · Pocatello, ID
NPI number
1104199074
Active
Practice location
1777 E Clark St Ste 210
Pocatello, ID 83201-3357
Fax (208) 427-5895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-7004 (ID) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
4 other providers at this address
- Bridgeway Psychological and Counseling Services PLLCClinical Social Worker Pocatello, ID NPI 1649192907
- Pathway CounselingMental Health Clinic/Center (Including Community Mental Health Center) Pocatello, ID NPI 1578338778
- Matthew B. Olsen, LCSWClinical Social Worker Pocatello, ID NPI 1912829250
- Megan Olsen Bird, PhDClinical Psychologist Pocatello, ID NPI 1841992393
Other mental health counselor providers in Pocatello
- Dedra Christine Sanna, LCPCMental Health Counselor Pocatello, ID NPI 1003097437
- Courtney MooreMental Health Counselor Pocatello, ID NPI 1003178559
- Rit Larae Nauman, LCPCMental Health Counselor Pocatello, ID NPI 1003989658
- Cassidy Michelle Roske, LPCMental Health Counselor Pocatello, ID NPI 1013198415
- Braun Inslee, LMHC, LPCMental Health Counselor Pocatello, ID NPI 1013564103
- Sherry DeiterMental Health Counselor Pocatello, ID NPI 1023390424
- Rachel Elizabeth Ayers, LPCMental Health Counselor Pocatello, ID NPI 1023725157
- Tanya ChantryMental Health Counselor Pocatello, ID NPI 1033354881
About NPI 1104199074
Tandice Peterson's National Provider Identifier is 1104199074, issued on Feb 22, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Jul 11, 2023.