Individual
ANGEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 933-3000
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MC61245796
WA
Other
Enumeration date
01/28/2021
Last updated
04/25/2022
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