Individual provider · Type 1 NPI

John Peterson Iii

Mental Health Counselor · Lafayette, IN

NPI number 1992204044 Active

Practice location

610 Main St
Lafayette, IN 47901-1451

Fax (765) 742-4196

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1992204044

John Peterson Iii's National Provider Identifier is 1992204044, issued on Feb 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, IN. The record was last updated on Feb 5, 2018.