Individual provider · Type 1 NPI

Kathleenjo Marie Peterson, LADC

Mental Health Counselor · Greeley, CO

NPI number 1972160133 Active

Practice location

1300 N 17th Ave
Greeley, CO 80631-9584

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972160133

Kathleenjo Marie Peterson, LADC's National Provider Identifier is 1972160133, issued on May 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greeley, CO. The record was last updated on May 23, 2019.