Kourtney Rae Peterson

NPI #1669170544 in Cathlamet, Washington

Provider Information

NPI Number: 1669170544
Entity Type: Individual
Name: Kourtney Rae Peterson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 20, 2023
Last Updated: Feb 20, 2023

Practice Location

Address: 500 S 3RD ST
City: Cathlamet
State: Washington
ZIP Code: 98612-9861
Phone: (253) 720-1496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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