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Kourtney Rae Peterson
Mental Health Counselor in Cathlamet, Washington
NPI 1669170544

Kourtney Rae Peterson is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Kourtney Rae Peterson practices in Cathlamet, WA. The NPI Number for Kourtney Rae Peterson is 1669170544 and holds a License No. 101YM0800X (Washington).

The current practice location address for Kourtney Rae Peterson is 500 S 3Rd St, Cathlamet, WA and can be reached out via phone at 253-720-1496.

Location: 500 S 3Rd St, Cathlamet, WA, 98661-6812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669170544
Provider Name
Kourtney Rae Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 S 3Rd St, Cathlamet, WA, 98661-6812
Phone Number
253-720-1496
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 S 3Rd St
City
Cathlamet
State
Washington
Zip
98612-9861
Phone Number
253-720-1496
Fax Number
person
Provider Business Mailing Address Details
Address
500 S 3Rd St
City
Cathlamet
State
Washington
Zip
98612-9861
Phone Number
253-720-1496
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
101YM0800X (Washington)
Definition
Definition to come...
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