Individual provider · Type 1 NPI
Theodore Peterson Iii, LPC, NCC
Professional Counselor · Somerdale, NJ
NPI number
1124711973
Active
Practice location
111 Glenwood Ave
Somerdale, NJ 08083-1709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | PC020455 (PA) |
| Professional Counselor Primary | 101YP2500X | 37PC00955700 (NJ) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1124711973
Theodore Peterson Iii, LPC, NCC's National Provider Identifier is 1124711973, issued on May 30, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Somerdale, NJ. The record was last updated on May 29, 2026.