Healthcare Provider Details

I. General information

NPI: 1033034764
Provider Name (Legal Business Name): ADAM PETERS LMFTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 NW BUCKLIN HILL RD STE 212
SILVERDALE WA
98383-8363
US

IV. Provider business mailing address

3100 NW BUCKLIN HILL RD STE 212
SILVERDALE WA
98383-8363
US

V. Phone/Fax

Practice location:
  • Phone: 360-633-6040
  • Fax:
Mailing address:
  • Phone: 360-633-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTA.MG.70149116
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: