Individual provider · Type 1 NPI

Candice Diane Peterson

Mental Health Counselor · Vallejo, CA

NPI number 1992956379 Active

Practice location

902 Tuolumne St
Vallejo, CA 94590-4641

Call (707) 648-8121 Map

Mailing address

1972 Maybelle Dr
Pleasant Hill, CA 94523-2708

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992956379

Candice Diane Peterson's National Provider Identifier is 1992956379, issued on Oct 3, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Oct 9, 2008.