Individual provider · Type 1 NPI
Reketta Peterson
Professional Counselor · Fairbanks, AK
NPI number
1972006435
Active
Practice location
3875 Geist Rd Ste E190
Fairbanks, AK 99709-3564
Mailing address
1423 Peger Rd
Fairbanks, AK 99709-5169
Other practice locations
- 1423 Peger Rd, Fairbanks, AK 99709-5169 · (907) 371-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | APC006265 (GA) |
| Mental Health Counselor | 101YM0800X | 164379 (AK) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1972006435
Reketta Peterson's National Provider Identifier is 1972006435, issued on Mar 12, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairbanks, AK. The record was last updated on Sep 10, 2020.