Individual provider · Type 1 NPI

Edi M. Peterson, LPC

Mental Health Counselor · New York, NY

NPI number 1295991990 Active

Practice location

44 E 32nd St, 11th Floor Trs Professional Suites
New York, NY 10016-5508

Mailing address

201 Harbor View Ter
Edgewater, NJ 07020-1187

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001758 (NY)
Professional Counselor 101YP2500X37PC00359600 (NJ)
Professional Counselor 101YP2500X16071 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1295991990

Edi M. Peterson, LPC's National Provider Identifier is 1295991990, issued on Aug 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Aug 1, 2008.