Individual
BARNES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
161 MAIN ST, SUITE 200, KEENE, NH 03431-3772
(603) 357-3093
(603) 357-7810
Mailing address
215 MYRTLE ST, MANCHESTER, NH 03104-4354
(603) 668-0014
(603) 623-7676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
128
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011130
VT MEDICAID
VT
01
—
1041623
CIGNA
NH
01
—
11718745
CAQH
NH
01
—
14Y000949NH01
WELLPOINT BHN
NH
05
—
30420622
—
NH
01
—
5396216
UBH PACIFICARE
NH
Enumeration date
04/04/2007
Last updated
07/08/2007
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