Individual provider · Type 1 NPI

Ivy Louise Peterson East

Mental Health Counselor · Eugene, OR

NPI number 1386314573 Active

Practice location

1195A City View St
Eugene, OR 97402-3325

Mailing address

4750 Franklin Blvd Spc B5
Eugene, OR 97403-2450

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386314573

Ivy Louise Peterson East's National Provider Identifier is 1386314573, issued on Sep 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Oct 31, 2021.