Individual provider · Type 1 NPI

Wade Christian Peterson, MA, LPC, NCC

Mental Health Counselor · Dallas, TX

NPI number 1447897806 Active

Practice location

4144 N Central Expy Ste 850
Dallas, TX 75204-3226

Mailing address

16516 Porterfield Lane
Fort Worth, TX 76247

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X80077 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1447897806

Wade Christian Peterson, MA, LPC, NCC's National Provider Identifier is 1447897806, issued on Dec 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jul 24, 2022.