Individual provider · Type 1 NPI

Kathryn M. Peterson, LPC

Mental Health Counselor · De Pere, WI

NPI number 1487852406 Active

Practice location

3860 Monroe Rd
De Pere, WI 54115-8399

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3670-125 (WI)
Mental Health Counselor Primary 101YM0800X3670-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1487852406

Kathryn M. Peterson, LPC's National Provider Identifier is 1487852406, issued on Jul 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in De Pere, WI. The record was last updated on Mar 14, 2024.