Individual
ANNA CHRISTINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, NCC
Contact information
Practice address
1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 98683-5509
(360) 619-2226
Mailing address
531 N HORNS CORNER DR, RIDGEFIELD, WA 98642-8072
(360) 433-1083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60635504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033557517
—
WA
Enumeration date
06/06/2013
Last updated
02/02/2025
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