Individual provider · Type 1 NPI

Kirin Techawongtham Peterson, LGPC

Mental Health Counselor · Lutherville, MD

NPI number 1447933197 Active

Practice location

1206 York Rd Ste 202
Lutherville, MD 21093-6217

Mailing address

3105 White Ave
Baltimore, MD 21214-2227

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLGP14188 (MD)
Professional Counselor 101YP2500XLGP14188 (MD)
Mental Health Counselor Primary 101YM0800XLGP14188 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1447933197

Kirin Techawongtham Peterson, LGPC's National Provider Identifier is 1447933197, issued on Aug 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutherville, MD. The record was last updated on Aug 31, 2023.