Individual provider · Type 1 NPI

Emily Petersen

Mental Health Counselor · Idaho Falls, ID

NPI number 1275404048 Active

Practice location

1248 E 17th St
Idaho Falls, ID 83404-6126

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275404048

Emily Petersen's National Provider Identifier is 1275404048, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 15, 2025.