Individual provider · Type 1 NPI

Marianna Peterson, MSW

Mental Health Counselor · East St. Louis, IL

NPI number 1164827366 Active

Practice location

5601 State St
East St. Louis, IL 62203-1346

Fax (618) 493-6390

Mailing address

111 Herman St
Highland, IL 62249-3209

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164827366

Marianna Peterson, MSW's National Provider Identifier is 1164827366, issued on Oct 30, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East St. Louis, IL. The record was last updated on Sep 29, 2026.