Individual provider · Type 1 NPI

Austin Petersen

Mental Health Counselor · San Luis Obispo, CA

NPI number 1497394837 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Call (805) 781-3535 Map

Mailing address

6088 Marshall Way
San Luis Obispo, CA 93401-8264

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497394837

Austin Petersen's National Provider Identifier is 1497394837, issued on Jan 2, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 2, 2020.