Individual provider · Type 1 NPI
Matthew Leif Peterson, LPC
Professional Counselor · Plano, TX
NPI number
1689124430
Active
Practice location
2512 Hunters Run Dr
Plano, TX 75025-4768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 73142 (TX) |
Professional Counselor: Definition to come...
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About NPI 1689124430
Matthew Leif Peterson, LPC's National Provider Identifier is 1689124430, issued on Oct 5, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Plano, TX. The record was last updated on Oct 5, 2016.