Individual provider · Type 1 NPI

Peter J. Theobald

Counselor · Spokane, WA

NPI number 1659569481 Active

Practice location

3919 N Maple St
Spokane, WA 99205-1349

Fax (509) 444-7806

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XRC00058671 (WA)

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 1659569481

Peter J. Theobald's National Provider Identifier is 1659569481, issued on Oct 5, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Oct 5, 2007.