Most Relevant Information
Provider Data
| NPI Number: | 1003364829 |
| Provider Name: | REBECCA PETERSON CO 60202212 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CO 60202212 |
Most Important Dates
| Enumeration Date: | 09/21/2016 |
| Last Updated: | 07/31/2019 |
Provider Practice Location
5548 MYRTLE AVE
FREELAND
WA
982498776
Practice Location Phone/Fax
| Phone: | 3605024090 |
| Fax: | 4252493528 |
Provider Mailing Location
1178 SW LESCHI DR
OAK HARBOR
WA
982775809
Provider Mailing Phone/Fax
| Phone: | 3606720812 |
| Fax: |