Individual provider · Type 1 NPI
Mary Anne Peterson, LCSW-R
Counselor · Cortland, NY
NPI number
1134568892
Active
Practice location
165 Main St., Suite A
Cortland, NY 13045-3049
Fax (607) 753-0286
Mailing address
10 N Main St
Cortland, NY 13045-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | R052643 (NY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1134568892
Mary Anne Peterson, LCSW-R's National Provider Identifier is 1134568892, issued on Jun 17, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cortland, NY. The record was last updated on Mar 5, 2021.