Individual provider · Type 1 NPI

Diane J. Peterson, LMFT

Mental Health Counselor · Provo, UT

NPI number 1164574018 Active

Practice location

3325 N University Ave, Suite 300
Provo, UT 84604-4465

Mailing address

241 E 4200 N
Provo, UT 84604-5010

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X97-323498-3902 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1164574018

Diane J. Peterson, LMFT's National Provider Identifier is 1164574018, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.