Most Relevant Information
Provider Data
| NPI Number: | 1003470436 |
| Provider Name: | DAVID PETERS |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT-2978 |
Most Important Dates
| Enumeration Date: | 05/01/2019 |
| Last Updated: | 05/01/2019 |
Provider Practice Location
720 EAST ALICE
BLACKFOOT
ID
83221
Practice Location Phone/Fax
| Phone: | 2087829874 |
| Fax: |
Provider Mailing Location
PO BOX 129
BLACKFOOT
ID
832210129
Provider Mailing Phone/Fax
| Phone: | 2087829874 |
| Fax: |