Individual provider · Type 1 NPI
Russell Edward Peters
Mental Health Counselor · Sandy, UT
NPI number
1912464546
Active
Practice location
10708 S 1300 E Ste 103
Sandy, UT 84094-5027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MC60655977 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1912464546
Russell Edward Peters's National Provider Identifier is 1912464546, issued on Mar 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sandy, UT. The record was last updated on Mar 1, 2019.