Individual provider · Type 1 NPI
Theresa Ann Peterson, LCSW
Mental Health Counselor · Erie, PA
NPI number
1760534416
Active
Practice location
4845 W Lake Rd Ste 102
Erie, PA 16505-2973
Fax (814) 725-0707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CW015447 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1760534416
Theresa Ann Peterson, LCSW's National Provider Identifier is 1760534416, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Erie, PA. The record was last updated on Jul 30, 2020.