Individual provider · Type 1 NPI

Amanda Lee Peterson, PCC, LICDC

Professional Counselor · Lebanon, OH

NPI number 1902170996 Active

Practice location

975 Kingsview Dr
Lebanon, OH 45036-9562

Call (513) 228-7800 Map

Fax (513) 228-7848

Mailing address

975 Kingsview Drive, Suite 400
Lebanon, OH 45036

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.0800170 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XICDC.100327 (OH)

Professional Counselor: Definition to come...

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About NPI 1902170996

Amanda Lee Peterson, PCC, LICDC's National Provider Identifier is 1902170996, issued on Mar 8, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, OH. The record was last updated on May 8, 2013.