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Linton Petersen
Counselor in Forks, Washington
NPI 1124424957

Linton Petersen is a Counselor based in Forks, WA. Linton Petersen practices in Forks, WA. The NPI Number for Linton Petersen is 1124424957 and holds a License No. CG60415963 (Washington).

The current practice location address for Linton Petersen is 530 Bogachiel Way, Forks, WA and can be reached out via phone at 360-374-5011 and via fax at 360-374-6691.

Location: 530 Bogachiel Way, Forks, WA, 98331-9120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124424957
Provider Name
Linton Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
530 Bogachiel Way, Forks, WA, 98331-9120
Phone Number
360-374-5011
Fax Number
360-374-6691
Provider Enumeration Date
11/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Bogachiel Way
City
Forks
State
Washington
Zip
98331-9120
Phone Number
360-374-5011
Fax Number
360-374-6691
person
Provider Business Mailing Address Details
Address
530 Bogachiel Way
City
Forks
State
Washington
Zip
98331-9120
Phone Number
360-374-5011
Fax Number
360-374-6691
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60415963 (Washington)
Definition
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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