Individual provider · Type 1 NPI

Polly A. Peterson, PhD

Mental Health Counselor · Boise, ID

NPI number 1740340678 Active

Practice location

1406 E Franklin St
Boise, ID 83712-7404

Call (208) 331-1936 Map

Fax (208) 331-1937

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCOUN-50 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1740340678

Polly A. Peterson, PhD's National Provider Identifier is 1740340678, issued on Dec 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.