Individual provider · Type 1 NPI
Amanda Lily Petersen, M.A., LPCC
Mental Health Counselor · Carbondale, CO
NPI number
1225798515
Active
Practice location
262 Midland Point Rd
Carbondale, CO 81623-2311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPCC.0018504 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1225798515
Amanda Lily Petersen, M.A., LPCC's National Provider Identifier is 1225798515, issued on Dec 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carbondale, CO. The record was last updated on Dec 28, 2021.