Individual provider · Type 1 NPI
Komekia Peterson
Mental Health Counselor · Rochester, NY
NPI number
1730062571
Active
Practice location
993 Stowell Dr
Rochester, NY 14616-1849
Fax (585) 698-4549
Other practice locations
- 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 · (718) 504-9256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34381 (NY) |
| Mental Health Counselor Primary | 101YM0800X | 008405 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1730062571
Komekia Peterson's National Provider Identifier is 1730062571, issued on Jul 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Sep 10, 2025.