person
Mr. Mark A. Peterson, LPC
Professional Counselor in Austin, Texas
NPI 1780877258

Mark A. Peterson is a Professional Counselor based in Austin, TX and is specialized in Professional. Mark A. Peterson practices in Austin, TX and has the professional credentials of LPC. The NPI Number for Mark A. Peterson is 1780877258 and holds a License No. 12258 (Texas).

The current practice location address for Mark A. Peterson is 7322 Scenic Oaks Cir, Austin, TX and can be reached out via phone at 512-775-1372.

Location: 7322 Scenic Oaks Cir, Austin, TX, 78745-5217
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Provider Profile Details
NPI Number
1780877258
Provider Name
Mark A. Peterson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
7322 Scenic Oaks Cir, Austin, TX, 78745-5217
Phone Number
512-775-1372
Fax Number
Provider Enumeration Date
08/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028554601 05 TX
institution
Provider Business Practice Location Address Details
Address
7322 Scenic Oaks Cir
City
State
Zip
78745-5217
Phone Number
512-775-1372
Fax Number
person
Provider Business Mailing Address Details
Address
7322 Scenic Oaks Cir
City
State
Zip
78745-5217
Phone Number
512-775-1372
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12258 (Texas)
Definition
Definition to come...
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