Individual provider · Type 1 NPI

Emma Pauline Petersen

Mental Health Counselor · Elgin, IL

NPI number 1780203554 Active

Practice location

1140 N Mclean Blvd
Elgin, IL 60123-1782

Fax (847) 695-4552

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780203554

Emma Pauline Petersen's National Provider Identifier is 1780203554, issued on Apr 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elgin, IL. The record was last updated on Apr 13, 2020.