CHARLES PETERSEN
Counselor - Mental Health
Active
Individual
NPI: 1417578014
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1417578014 is the National Provider Identifier for CHARLES PETERSEN, a Counselor - Mental Health provider located in Clarkston, WA. This NPI was enumerated on May 5, 2020.
CHARLES PETERSEN practices at 900 7TH ST, Clarkston, WA 99403.
Quick Facts
- NPI
- 1417578014
- Type
- Individual
- Enumerated
- May 5, 2020
- Last Updated
- May 5, 2020
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