Individual provider · Type 1 NPI

Peter Tegner, LSW, MSW, MBA, PMP

Mental Health Counselor · Boulder, CO

NPI number 1659245553 Active

Practice location

5529 Ptarmigan Cir
Boulder, CO 80301-3515

Call (586) 713-6077 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLSW.0009926606 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1659245553

Peter Tegner, LSW, MSW, MBA, PMP's National Provider Identifier is 1659245553, issued on Oct 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Oct 2, 2025.