Individual provider · Type 1 NPI

Jeremy Hayden Petersen

Mental Health Counselor · Mill Creek, WA

NPI number 1730034877 Active

Practice location

16000 Bothell Everett Hwy Ste 360
Mill Creek, WA 98012-1577

Call (425) 357-9111 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHCA.MC.70074370 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDPT.CO.70092032 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1730034877

Jeremy Hayden Petersen's National Provider Identifier is 1730034877, issued on Mar 3, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mill Creek, WA. The record was last updated on Mar 9, 2026.