Healthcare Provider Details

I. General information

NPI: 1417126160
Provider Name (Legal Business Name): ABBY PETERS MS, LPC,CAADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1987 STATE ST
EAST PETERSBURG PA
17520
US

IV. Provider business mailing address

121 SNAVELY MILL RD
LITITZ PA
17543-7971
US

V. Phone/Fax

Practice location:
  • Phone: 717-462-7003
  • Fax:
Mailing address:
  • Phone: 717-368-7586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005086
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: