Individual provider · Type 1 NPI

Jeri L. Petersen, LPC

Professional Counselor · Jacksonville, NC

NPI number 1619199205 Active

Practice location

200 Tarpon Trl
Jacksonville, NC 28546-5287

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	6492 (NC)

Professional Counselor: Definition to come...

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About NPI 1619199205

Jeri L. Petersen, LPC's National Provider Identifier is 1619199205, issued on May 3, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, NC. The record was last updated on Apr 4, 2013.