Individual provider · Type 1 NPI
Peter Robert Hergenroether, MA
Professional Counselor · Bethel, AK
NPI number
1679542484
Active
Practice location
829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 707 (AK) |
| Social Worker | 104100000X | 6801012610 (MI) |
Professional Counselor: Definition to come...
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About NPI 1679542484
Peter Robert Hergenroether, MA's National Provider Identifier is 1679542484, issued on Mar 15, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bethel, AK. The record was last updated on Nov 22, 2011.