Kelissa Peterson, LCSW
NPI #1851998207 in Farmington, Utah
Provider Information
- NPI Number
- 1851998207
- Entity Type
- Individual
- Name
- Kelissa Peterson, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 7, 2020
- Last Updated
- Oct 2, 2025
Practice Location
- Address
- 284 E 750 S
- City
- Farmington
- State
- Utah
- ZIP Code
- 84025-3243
- Phone
- (208) 994-9677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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