Individual provider · Type 1 NPI
Jennifer Elaine Peterson, LPC
Professional Counselor · Boise, ID
NPI number
1902526833
Active
Practice location
12857 N Andys Gulch Rd
Boise, ID 83714-9423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-9027 (ID) |
Professional Counselor: Definition to come...
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About NPI 1902526833
Jennifer Elaine Peterson, LPC's National Provider Identifier is 1902526833, issued on Aug 31, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Sep 2, 2022.