Individual provider · Type 1 NPI

Eric Richard Petersen

Peer Specialist · Menasha, WI

NPI number 1639004443 Active

Practice location

1476 Kenwood Dr Ste 101
Menasha, WI 54952-1134

Call (920) 284-7950 Map

Mailing address

415 E Doty Ave
Neenah, WI 54956-2975

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1639004443

Eric Richard Petersen's National Provider Identifier is 1639004443, issued on Jun 15, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Menasha, WI. The record was last updated on Jun 15, 2026.