Individual provider · Type 1 NPI

Charles Peterson

Professional Counselor · Wethersfield, CT

NPI number 1154798502 Active

Practice location

185 Silas Deane Hwy
Wethersfield, CT 06109

Mailing address

1487 Longmeadow St
Longmeadow, MA 01106-2204

Other practice locations

  • 185 Silas Deane Hwy, Wethersfield, CT 06109 · (860) 698-1680
  • 1487 Longmeadow St, Longmeadow, MA 01106-2204 · (413) 726-8716

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X003293 (CT)

Professional Counselor: Definition to come...

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About NPI 1154798502

Charles Peterson's National Provider Identifier is 1154798502, issued on Sep 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wethersfield, CT. The record was last updated on Sep 11, 2018.