Individual provider · Type 1 NPI

Maudie Alice Peterson, MS, LPC

Mental Health Counselor · Salem, OR

NPI number 1104983782 Active

Practice location

3884 Commercial St SE # 203
Salem, OR 97302-3835

Call (503) 362-7024 Map

Fax (503) 362-5404

Mailing address

PO Box 4665
Salem, OR 97302-8665

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCO224 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1104983782

Maudie Alice Peterson, MS, LPC's National Provider Identifier is 1104983782, issued on Jan 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.