Individual provider · Type 1 NPI

Kimberly Rose Peterson, LMSW

Mental Health Counselor · Canandaigua, NY

NPI number 1467955724 Active

Practice location

400 Fort Hill Ave
Canandaigua, NY 14424-1159

Call (585) 615-0183 Map

Other practice locations

  • 11 Spencer Ln, Stony Brook, NY 11790-3122 · (631) 332-9286

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X100075 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1467955724

Kimberly Rose Peterson, LMSW's National Provider Identifier is 1467955724, issued on Mar 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canandaigua, NY. The record was last updated on Jul 14, 2023.