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Mr. Timothy James Peterson, MA,LMHCA
Mental Health Counselor in Monroe, Washington
NPI 1992189328

Timothy James Peterson is a Mental Health Counselor based in Monroe, WA and is specialized in Mental Health. Timothy James Peterson practices in Monroe, WA and has the professional credentials of MA,LMHCA. The NPI Number for Timothy James Peterson is 1992189328 and holds a License No. MC60568524 (Washington).

The current practice location address for Timothy James Peterson is 25819 174Th St Se, Monroe, WA and can be reached out via phone at 732-233-1898.

Location: 25819 174Th St Se, Monroe, WA, 98272-9360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992189328
Provider Name
Timothy James Peterson
Credential
MA,LMHCA
Provider Entity Type
Individual
Gender
Male
Address
25819 174Th St Se, Monroe, WA, 98272-9360
Phone Number
732-233-1898
Fax Number
Provider Enumeration Date
07/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MC 60568524 01 WA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
25819 174Th St Se
City
Monroe
State
Washington
Zip
98272-9360
Phone Number
732-233-1898
Fax Number
person
Provider Business Mailing Address Details
Address
25819 174Th St Se
City
Monroe
State
Washington
Zip
98272-9360
Phone Number
732-233-1898
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60568524 (Washington)
Definition
Definition to come...
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