Individual provider · Type 1 NPI

Abigail Peterson

Mental Health Counselor · Portland, OR

NPI number 1730556846 Active

Practice location

13029 SE Division St
Portland, OR 97236-3168

Call (503) 954-3428 Map

Fax (503) 954-3409

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730556846

Abigail Peterson's National Provider Identifier is 1730556846, issued on Aug 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2016.