Individual provider · Type 1 NPI

Jermaine Peterson, M.ED.

Mental Health Counselor · Oklahoma City, OK

NPI number 1508152448 Active

Practice location

2701 N Oklahoma Ave
Oklahoma City, OK 73105-2724

Mailing address

9220 E 50th St
Tulsa, OK 74145-7327

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508152448

Jermaine Peterson, M.ED.'s National Provider Identifier is 1508152448, issued on Jun 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 20, 2011.