Individual provider · Type 1 NPI

Amy Peterson, LPC-IT

Professional Counselor · Mount Pleasant, WI

NPI number 1679110779 Active

Practice location

6233 Durand Ave Ste F
Mount Pleasant, WI 53406-4961

Call (262) 554-8165 Map

Mailing address

6905 Bobolink Rd
Racine, WI 53402-1344

Other practice locations

  • 6233 Durand Ave Ste F, Mount Pleasant, WI 53406-4961 · (262) 554-8165

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4510226 (WI)

Professional Counselor: Definition to come...

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About NPI 1679110779

Amy Peterson, LPC-IT's National Provider Identifier is 1679110779, issued on Dec 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Pleasant, WI. The record was last updated on Dec 8, 2019.