person
Debra Peterson, LMSW
Mental Health Counselor in Idaho Falls, Idaho
NPI 1407627193

Debra Peterson is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Debra Peterson practices in Idaho Falls, ID and has the professional credentials of LMSW. The NPI Number for Debra Peterson is 1407627193 and holds a License No. LMSW-43948 (Idaho).

The current practice location address for Debra Peterson is 855 N Capital Ave Ste 1, Idaho Falls, ID and can be reached out via phone at 208-552-0855 and via fax at 208-523-1132.

Location: 855 N Capital Ave Ste 1, Idaho Falls, ID, 83402-3405
person
Provider Profile Details
NPI Number
1407627193
Provider Name
Debra Peterson
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
855 N Capital Ave Ste 1, Idaho Falls, ID, 83402-3405
Phone Number
208-552-0855
Fax Number
208-523-1132
Provider Enumeration Date
01/11/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
855 N Capital Ave Ste 1
City
State
Zip
83402-3405
Phone Number
208-552-0855
Fax Number
208-523-1132
person
Provider Business Mailing Address Details
Address
855 N Capital Ave Ste 1
City
State
Zip
83402-3405
Phone Number
208-552-0855
Fax Number
208-523-1132
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMSW-43948 (Idaho)
Definition
Definition to come...
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