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Julie Peterson
Peer Specialist in Gothenburg, Nebraska
NPI 1457123754

Julie Peterson is a Peer Specialist based in Gothenburg, NE. Julie Peterson practices in Gothenburg, NE. The NPI Number for Julie Peterson is 1457123754 and holds a License No. CPSS-256 (Nebraska).

The current practice location address for Julie Peterson is 910 Avenue F, Gothenburg, NE and can be reached out via phone at 308-539-4066.

Location: 910 Avenue F, Gothenburg, NE, 69138-2060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457123754
Provider Name
Julie Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
910 Avenue F, Gothenburg, NE, 69138-2060
Phone Number
308-539-4066
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CPSS-256 05 NE
institution
Provider Business Practice Location Address Details
Address
910 Avenue F
City
Gothenburg
State
Nebraska
Zip
69138-2060
Phone Number
308-539-4066
Fax Number
person
Provider Business Mailing Address Details
Address
910 Avenue F
City
Gothenburg
State
Nebraska
Zip
69138-2060
Phone Number
308-539-4066
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CPSS-256 (Nebraska)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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