Individual provider · Type 1 NPI

Betsy Pack Petersen, LMSW

Counselor · Idaho Falls, ID

NPI number 1952852436 Active

Practice location

2267 Teton Plz
Idaho Falls, ID 83404-6486

Call (208) 522-0140 Map

Fax (208) 524-7335

Other practice locations

  • 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771 · (865) 986-8082
  • 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771 · (865) 986-8082

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-38030 (ID)
Social Worker 104100000X10930 (LMSW) (TN)
Counselor Primary 101Y00000XLMSW-38030 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1952852436

Betsy Pack Petersen, LMSW's National Provider Identifier is 1952852436, issued on Oct 19, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 21, 2018.