Individual provider · Type 1 NPI
Kourtney Rae Peterson
Mental Health Counselor · Cathlamet, WA
NPI number
1669170544
Active
Practice location
500 S 3rd St
Cathlamet, WA 98612-9861
Mailing address
2500 NE 65th Ave
Vancouver, WA 98661-6812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 101YM0800X (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1669170544
Kourtney Rae Peterson's National Provider Identifier is 1669170544, issued on Feb 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cathlamet, WA. The record was last updated on Feb 20, 2023.