Individual provider · Type 1 NPI

Kimberly Pavich Peterson

Counselor · San Diego, CA

NPI number 1508307836 Active

Practice location

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425

Call (760) 815-8994 Map

Mailing address

13861 Otis Pl
Poway, CA 92064-4833

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1508307836

Kimberly Pavich Peterson's National Provider Identifier is 1508307836, issued on Mar 20, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 24, 2017.