Individual provider · Type 1 NPI

Jessica Marie Peterson

Mental Health Counselor · Sagamore, MA

NPI number 1194292805 Active

Practice location

4 Garfield Ave
Sagamore, MA 02561-0718

Mailing address

PO Box 718
Sagamore, MA 02561-0718

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194292805

Jessica Marie Peterson's National Provider Identifier is 1194292805, issued on Oct 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sagamore, MA. The record was last updated on May 11, 2020.