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Organization
PINE RUN MENTAL HEALTH & WELLNESS
Active
Organization
PINE RUN MENTAL HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTOPHER PETERSEN NP (PMHNP/OWNER)
(570) 215-9965
Entity
Organization
Contact information
Practice address
400 MARKET ST, WILLIAMSPORT, PA 17701-6344
(929) 724-2277
(929) 724-2277
Mailing address
2319 PINE RUN RD, LINDEN, PA 17744-8149
(570) 215-9965
(570) 215-9965
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
07/06/2026
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