Individual provider · Type 1 NPI

Jacqueline Nicole Peterson

Counselor · San Diego, CA

NPI number 1992967459 Active

Practice location

6160 Mission Gorge Rd, 200
San Diego, CA 92120-3410

Call (619) 281-3701 Map

Fax (619) 281-3714

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1992967459

Jacqueline Nicole Peterson's National Provider Identifier is 1992967459, issued on Jun 26, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 26, 2008.