Individual
MEGAN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-5272
Mailing address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-5272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23-09-2231
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5734
OR
Other
Enumeration date
02/01/2017
Last updated
04/13/2026
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