Individual provider · Type 1 NPI

Anicia Jann Peltzer

Mental Health Counselor · Gold Beach, OR

NPI number 1942553078 Active

Practice location

94235 Moore St, Suite 412
Gold Beach, OR 97444-9699

Call (541) 247-4082 Map

Mailing address

94235 Moore Street, Suite 412
Gold Beach, OR 97444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942553078

Anicia Jann Peltzer's National Provider Identifier is 1942553078, issued on Oct 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gold Beach, OR. The record was last updated on Oct 26, 2012.