Individual provider · Type 1 NPI

Gail Ingra Peterson, M.S, LCPC

Professional Counselor · Nampa, ID

NPI number 1114355757 Active

Practice location

320 11th Ave S Ste 204
Nampa, ID 83651-5074

Fax (208) 908-6164

Other practice locations

  • 3043 S Meridian Rd, Suite 125, Meridian, ID 83642-7922 · (208) 884-0033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLCPC-6750 (ID)
Professional Counselor Primary 101YP2500XLPC-5336 (ID)

Professional Counselor: Definition to come...

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About NPI 1114355757

Gail Ingra Peterson, M.S, LCPC's National Provider Identifier is 1114355757, issued on Oct 16, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Jan 12, 2021.