Individual provider · Type 1 NPI

Justin Peterson, LPCC

Counselor · Albuquerque, NM

NPI number 1366035834 Active

Practice location

4004 Carlisle Blvd NE
Albuquerque, NM 87107-4565

Mailing address

304 Homeland Rd NW
Albuquerque, NM 87114-1614

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCTB20250426 (NM)
Mental Health Counselor 101YM0800XCTB-2023-0133 (NM)
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1366035834

Justin Peterson, LPCC's National Provider Identifier is 1366035834, issued on Feb 16, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 20, 2025.