Individual provider · Type 1 NPI

Kelly Peterson

Mental Health Counselor · Walla Walla, WA

NPI number 1902636889 Active

Practice location

1520 Kelly Pl
Walla Walla, WA 99362-8607

Call (509) 524-2920 Map

Mailing address

PO Box 959
Yakima, WA 98907-0959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902636889

Kelly Peterson's National Provider Identifier is 1902636889, issued on Aug 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Walla Walla, WA. The record was last updated on Apr 22, 2025.