Individual provider · Type 1 NPI

Rodney Petersen

Mental Health Counselor · Mount Shasta, CA

NPI number 1295981728 Active

Practice location

1107 Ream Ave
Mount Shasta, CA 96067-9768

Call (530) 926-1436 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1144273855 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1295981728

Rodney Petersen's National Provider Identifier is 1295981728, issued on Aug 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Shasta, CA. The record was last updated on Aug 15, 2008.