Individual provider · Type 1 NPI

Kimberly Nicole Peterson, M.A.

Counselor · Portland, OR

NPI number 1316078967 Active

Practice location

1500 NE Irving St, Suite 250
Portland, OR 97232-2243

Call (503) 233-4356 Map

Mailing address

5105 NE 48th Ave
Portland, OR 97218-2053

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1316078967

Kimberly Nicole Peterson, M.A.'s National Provider Identifier is 1316078967, issued on Mar 7, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.