Individual provider · Type 1 NPI

Jennifer Peterson

Mental Health Counselor · Stockton, CA

NPI number 1255729430 Active

Practice location

2495 W March Ln Ste 125
Stockton, CA 95207-8224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255729430

Jennifer Peterson's National Provider Identifier is 1255729430, issued on Dec 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Dec 22, 2014.