Individual provider · Type 1 NPI

Kelly Peterson, LCSW

Mental Health Counselor · Brookhaven, GA

NPI number 1366923963 Active

Practice location

1777 Northeast Expy NE
Brookhaven, GA 30329-2480

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366923963

Kelly Peterson, LCSW's National Provider Identifier is 1366923963, issued on Aug 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookhaven, GA. The record was last updated on Oct 18, 2024.