Individual provider · Type 1 NPI

Kimberly Petersen, MA, LMHC

Mental Health Counselor · Seattle, WA

NPI number 1114258332 Active

Practice location

4742 42nd Ave SW, #224
Seattle, WA 98116-1045

Call (206) 595-4181 Map

Mailing address

4742 42 Ave SW, #224
Seattle, WA 98116

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLH00008610 (WA)
Mental Health Counselor Primary 101YM0800XLH 00008610 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1114258332

Kimberly Petersen, MA, LMHC's National Provider Identifier is 1114258332, issued on Jan 28, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Aug 14, 2025.