Individual provider · Type 1 NPI

Jamie Miranda Peterson

Mental Health Counselor · Farmington, NM

NPI number 1295086635 Active

Practice location

406 Airport Dr
Farmington, NM 87401-5518

Call (505) 325-5358 Map

Fax (505) 564-8368

Mailing address

807 W Apache St
Farmington, NM 87401-5527

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295086635

Jamie Miranda Peterson's National Provider Identifier is 1295086635, issued on Sep 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, NM. The record was last updated on Sep 25, 2012.