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Gregory Howard Peterson
Mental Health Counselor in Vancouver, Washington
NPI 1063818409

Gregory Howard Peterson is a Mental Health Counselor based in Ridgefield, WA and is specialized in Mental Health. Gregory Howard Peterson practices in Vancouver, WA. The NPI Number for Gregory Howard Peterson is 1063818409 and holds a License No. C3885 (Washington).

The current practice location address for Gregory Howard Peterson is 1498 Se Tech Center Pl Ste 300, Vancouver, WA and can be reached out via phone at 360-619-2226.

Location: 1498 Se Tech Center Pl Ste 300, Vancouver, WA, 98642-8072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063818409
Provider Name
Gregory Howard Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1498 Se Tech Center Pl Ste 300, Vancouver, WA, 98642-8072
Phone Number
360-619-2226
Fax Number
Provider Enumeration Date
11/12/2014
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1498 Se Tech Center Pl Ste 300
City
Vancouver
State
Washington
Zip
98683-5509
Phone Number
360-619-2226
Fax Number
person
Provider Business Mailing Address Details
Address
1498 Se Tech Center Pl Ste 300
City
Vancouver
State
Washington
Zip
98683-5509
Phone Number
360-619-2226
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C3885 (Oregon)
Definition
Definition to come...
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