Individual provider · Type 1 NPI

Holly Petersen

Marriage & Family Therapist · Long Island City, NY

NPI number 1760806103 Active

Practice location

1143 47th Ave
Long Island City, NY 11101-5465

Call (631) 880-0644 Map

Mailing address

3127 36th St, Apt 1
Astoria, NY 11106-1001

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X085016 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1760806103

Holly Petersen's National Provider Identifier is 1760806103, issued on Feb 5, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Long Island City, NY. The record was last updated on Feb 5, 2014.