Individual provider · Type 1 NPI

Thomas Michael Peterson, MS, LPCA, NCC, CCMHC

Mental Health Counselor · Charlotte, NC

NPI number 1235642760 Active

Practice location

415 E 4th St
Charlotte, NC 28202-2405

Call (704) 377-5042 Map

Fax (704) 377-5043

Mailing address

7919 Angelica Ln Apt 204
Charlotte, NC 28277-3088

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA13471 (NC)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1235642760

Thomas Michael Peterson, MS, LPCA, NCC, CCMHC's National Provider Identifier is 1235642760, issued on Nov 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Nov 7, 2017.