Individual
DR. BILL B PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
203 E JEFFERSON AVE STE A, WHITNEY, TX 76692-2303
(254) 694-9457
(270) 573-7794
Mailing address
126 GIANT CEDAR DR., WHITNEY, TX 76692-2253
(254) 694-0858
(270) 573-7794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2511
TX
1041C0700X
Clinical Social Worker
Primary
S10635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87628Q
BCBS
TX
Enumeration date
09/11/2006
Last updated
08/25/2010
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