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Desiree Petersen
Student in an Organized Health Care Education/Training Program in Auburn, Washington
NPI 1376994780

Desiree Petersen is a Student in an Organized Health Care Education/Training Program based in Tukwila, WA. Desiree Petersen practices in Auburn, WA. The NPI Number for Desiree Petersen is 1376994780 and holds a License No. (Washington).

The current practice location address for Desiree Petersen is 4240 Auburn Way N, Auburn, WA and can be reached out via phone at 253-876-8900.

Location: 4240 Auburn Way N, Auburn, WA, 98188-2547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376994780
Provider Name
Desiree Petersen
Credential
Provider Entity Type
Individual
Gender
Female
Address
4240 Auburn Way N, Auburn, WA, 98188-2547
Phone Number
253-876-8900
Fax Number
Provider Enumeration Date
06/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4240 Auburn Way N
City
Auburn
State
Washington
Zip
98002-1311
Phone Number
253-876-8900
Fax Number
person
Provider Business Mailing Address Details
Address
4240 Auburn Way N
City
Auburn
State
Washington
Zip
98002-1311
Phone Number
253-876-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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