Individual provider · Type 1 NPI

Stacy Peterson, LCPC

Professional Counselor · Great Falls, MT

NPI number 1992259519 Active

Practice location

117 Park Dr S Ste A
Great Falls, MT 59401-3612

Call (406) 781-4973 Map

Fax (406) 403-0222

Mailing address

PO Box 2851
Great Falls, MT 59403-2851

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X18900 (MT)
Mental Health Counselor 101YM0800X18900 (MT)
Counselor 101Y00000X18900 (MT)

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About NPI 1992259519

Stacy Peterson, LCPC's National Provider Identifier is 1992259519, issued on Aug 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Great Falls, MT. The record was last updated on Feb 9, 2022.