Individual provider · Type 1 NPI

Maryhelen I. Peterson, QMHP

Professional Counselor · Fossil, OR

NPI number 1780797357 Active

Practice location

401 4th Street
Fossil, OR 97830

Mailing address

48500 Hwy 19
Fossil, OR 97830

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

Another provider at this address

About NPI 1780797357

Maryhelen I. Peterson, QMHP's National Provider Identifier is 1780797357, issued on Aug 16, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fossil, OR. The record was last updated on Sep 11, 2025.