person
Kristen Peterca, MA,LPC,NCC
Mental Health Counselor in Gresham, Oregon
NPI 1447485594

Kristen Peterca is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Kristen Peterca practices in Gresham, OR and has the professional credentials of MA,LPC,NCC. The NPI Number for Kristen Peterca is 1447485594 and holds a License No. C2304 (Oregon).

The current practice location address for Kristen Peterca is 1700 Nw Civic Dr, Gresham, OR and can be reached out via phone at 503-666-8332 and via fax at 503-669-8641. You can also correspond with Kristen Peterca through the mailing address at PO BOX 82819, PORTLAND, OR - 97282-0819 (mailing address contact number: 503-233-5405).

Location: 1700 Nw Civic Dr, Gresham, OR, 97282-0819
person
Provider Profile Details
NPI Number
1447485594
Provider Name
Kristen Peterca
Credential
MA,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
1700 Nw Civic Dr, Gresham, OR, 97282-0819
Phone Number
503-666-8332
Fax Number
503-669-8641
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
1700 Nw Civic Dr
City
State
Zip
97030-3770
Phone Number
503-666-8332
Fax Number
503-669-8641
person
Provider Business Mailing Address Details
Address
Po Box 82819
City
State
Zip
97282-0819
Phone Number
503-233-5405
Fax Number
503-233-2692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C2304 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2304 (Oregon)
Definition
Definition to come...
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