Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK PETERSEN
Active Sole ProprietorDEREK PETERSEN is a Mental Health Counselor healthcare provider located in DOUGLASSVILLE, Pennsylvania. NPI 1730890401 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · DOUGLASSVILLE, PA
Registration Details
- NPI Number
- 1730890401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2022 (3.7092627346422 yrs)
- Last Updated
- Dec 12, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 BEN FRANKLIN HWY WDOUGLASSVILLE, PA, 195181829Browse PA providers · Browse ZIP 19518
- Phone
- 6103853155
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in DOUGLASSVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| KEIKO WOLFE | — | 1992050090 |
| NICHOLAS G DEMARIA | — | 1164072252 |
| KELSEY REUBE | — | 1518509876 |
| ASHLEY HARACZKA | — | 1205524345 |
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.