TANDICE PETERSON

Mental Health Counselor

NPI: 1104199074Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

Professional Counselor

Counselor — Professional

Code: 101YP2500X

LCPC-7004(ID)

Contact & Hours

Address: 1777 E CLARK ST STE 210
POCATELLO, ID 83201
Phone: (208) 427-5891

Quick Facts

NPI: 1104199074
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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