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Eric William Richard Petersen
Counselor in Kansas City, Missouri
NPI 1609563550

Eric William Richard Petersen is a Counselor based in Kansas City, MO. Eric William Richard Petersen practices in Kansas City, MO. The NPI Number for Eric William Richard Petersen is 1609563550 and holds a License No. (Missouri).

The current practice location address for Eric William Richard Petersen is 1511 Westport Rd Ste A, Kansas City, MO and can be reached out via phone at 805-433-3032.

Location: 1511 Westport Rd Ste A, Kansas City, MO, 64111-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609563550
Provider Name
Eric William Richard Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1511 Westport Rd Ste A, Kansas City, MO, 64111-4301
Phone Number
805-433-3032
Fax Number
Provider Enumeration Date
04/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1511 Westport Rd Ste A
City
Kansas City
State
Missouri
Zip
64111-4301
Phone Number
805-433-3032
Fax Number
person
Provider Business Mailing Address Details
Address
1511 Westport Rd Ste A
City
Kansas City
State
Missouri
Zip
64111-4301
Phone Number
805-433-3032
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.
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