Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL HENRY PETERSON, M.S.
ActiveMR. RUSSELL HENRY PETERSON, M.S. is a Mental Health Counselor healthcare provider located in IDAHO FALLS, Idaho. NPI 1093879637 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1093879637
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.611203582289 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LCPC-3125 (ID)
Practice Information
- Address
-
2375 E SUNNYSIDE RDSUITE CIDAHO FALLS, ID, 834048280Browse ID providers · Browse ZIP 83404
- Phone
- 2085295777
- Fax
- 2085295778
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| JILL REID WEADICK | LCPC | 1740255264 |
| MRS. KATHLENE FAY PARSONS | LCPC, NCC | 1457365504 |
| MS. JENNIFER DEE KERNER | LCPC | 1144315722 |
| MRS. KIRA C LANE | LPC3502 | 1275613556 |
| CASEY PUZEY | LCPC | 1902977929 |
| DR. JANET O. ALLEN | ED.D, LCPC | 1457413205 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.