Individual provider · Type 1 NPI
Anastasia Peterson
Mental Health Counselor · Wadsworth, IL
NPI number
1295246841
Active
Practice location
13135 W 21st St
Wadsworth, IL 60083-9319
Fax (847) 731-3194
Mailing address
4014 Gregory Dr
Zion, IL 60099-1342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 178.007968 (IL) |
Mental Health Counselor: Definition to come...
About NPI 1295246841
Anastasia Peterson's National Provider Identifier is 1295246841, issued on Oct 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wadsworth, IL. The record was last updated on Oct 21, 2017.