Individual provider · Type 1 NPI

Kelly Peters, LPC

Professional Counselor · Philadelphia, PA

NPI number 1407236581 Active

Practice location

6060 Ridge Ave, Suite 210
Philadelphia, PA 19128-1657

Call (267) 536-9384 Map

Mailing address

224 Lemonte St
Philadelphia, PA 19128-4518

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPC008088 (PA)
Professional Counselor Primary 101YP2500XPC 008088 (PA)

Professional Counselor: Definition to come...

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About NPI 1407236581

Kelly Peters, LPC's National Provider Identifier is 1407236581, issued on Jun 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 4, 2015.