Individual provider · Type 1 NPI

Wayne Douglas Peterson, LPC

Professional Counselor · Richfield, UT

NPI number 1124160262 Active

Practice location

164 N Main St, (rear)
Richfield, UT 84701-2170

Call (435) 201-4481 Map

Mailing address

PO Box 662
Richfield, UT 84701-0662

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3690346004 (UT)

Professional Counselor: Definition to come...

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About NPI 1124160262

Wayne Douglas Peterson, LPC's National Provider Identifier is 1124160262, issued on Feb 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richfield, UT. The record was last updated on Jul 8, 2007.