Individual
MRS. TANDICE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 E CLARK ST STE 210, POCATELLO, ID 83201-3357
(208) 427-5891
(208) 427-5895
Mailing address
1777 E CLARK ST STE 210, POCATELLO, ID 83201-3357
(208) 427-5891
(208) 427-5895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
LCPC-7004
ID
Other
Enumeration date
02/22/2012
Last updated
07/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us