person
Mr. Wayne Douglas Peterson, LPC
Professional Counselor in Richfield, Utah
NPI 1124160262

Wayne Douglas Peterson is a Professional Counselor based in Richfield, UT and is specialized in Professional. Wayne Douglas Peterson practices in Richfield, UT and has the professional credentials of LPC. The NPI Number for Wayne Douglas Peterson is 1124160262 and holds a License No. 3690346004 (Utah).

The current practice location address for Wayne Douglas Peterson is 164 N Main St, Richfield, UT and can be reached out via phone at 435-201-4481.

Location: 164 N Main St, Richfield, UT, 84701-0662
person
Provider Profile Details
NPI Number
1124160262
Provider Name
Wayne Douglas Peterson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
164 N Main St, Richfield, UT, 84701-0662
Phone Number
435-201-4481
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36903460000001 01 REGENCE BLUE CROSS BLUE S
86695 01 PEHP
institution
Provider Business Practice Location Address Details
Address
164 N Main St
City
State
Zip
84701-2170
Phone Number
435-201-4481
Fax Number
person
Provider Business Mailing Address Details
Address
164 N Main St
City
State
Zip
84701-2170
Phone Number
435-201-4481
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3690346004 (Utah)
Definition
Definition to come...
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