Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LEE PETERSON, PCC, LICDC
ActiveAMANDA LEE PETERSON, PCC, LICDC is a Professional Counselor healthcare provider located in LEBANON, Ohio. NPI 1902170996 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LEBANON, OH
Registration Details
- NPI Number
- 1902170996
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2012 (14.416970443213 yrs)
- Last Updated
- May 8, 2013
- Licenses
-
E.0800170 (OH)ICDC.100327 (OH)
Practice Information
- Address
-
975 KINGSVIEW DRLEBANON, OH, 450369562Browse OH providers · Browse ZIP 45036
- Phone
- 5132287800
- Fax
- 5132287848
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Professional Counselor Providers in LEBANON, OH
| Name | Credential | NPI |
|---|---|---|
| JENNIFER WADE | PCC-S, LICDC | 1043460256 |
| MRS. MARIE JULIE CLENDENEN | PCC | 1548407307 |
| BECKY A WEST | PCC | 1548492515 |
| KELLY M LANE | PC | 1083938823 |
| MARK O OBENOUR | PCC-S | 1013358746 |
| MRS. HOLLY ST.PIERRE | MS ED. LPC | 1033543087 |
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.