Individual provider · Type 1 NPI

Gary Robert Peterson, MA, LMHC, CEAP, SAP

Mental Health Counselor · Jacksonville Beach, FL

NPI number 1164589610 Active

Practice location

1538 The Greens Way Ste 101
Jacksonville Beach, FL 32250-1400

Call (904) 543-0161 Map

Fax (904) 543-9172

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH0001443 (FL)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1164589610

Gary Robert Peterson, MA, LMHC, CEAP, SAP's National Provider Identifier is 1164589610, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Jul 8, 2007.