Individual provider · Type 1 NPI

Tierra Petersen

Mental Health Counselor · Mccleary, WA

NPI number 1710650429 Active

Practice location

322 S Birch St
Mccleary, WA 98557-9522

Call (360) 208-9625 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710650429

Tierra Petersen's National Provider Identifier is 1710650429, issued on Jul 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mccleary, WA. The record was last updated on Jul 28, 2021.