Individual provider · Type 1 NPI
Chandra Petersen, LMHP, LADC
Mental Health Counselor · Blair, NE
NPI number
1619028651
Active
Practice location
1654 Washington St
Blair, NE 68008-1656
Fax (402) 478-5047
Mailing address
PO Box 589
Blair, NE 68008-0589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2997 (NE) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 731 (NE) |
Mental Health Counselor: Definition to come...
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- Brittany PleskacMental Health Counselor Blair, NE NPI 1750906046
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About NPI 1619028651
Chandra Petersen, LMHP, LADC's National Provider Identifier is 1619028651, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blair, NE. The record was last updated on Jan 29, 2025.