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NPI Code Detail

MEDICARE: MRS. DAWN E PETERS MA, LPCC

MEDICARE: MRS. DAWN E PETERS MA, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.2607071OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033594221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN E PETERS MA, LPCC
Provider Business Mailing Address
First Line : 104 SPINK ST
Second Line :
City : WOOSTER
State : OH
Zip : 44691-3652
Country : US
Telephone Number : 330-264-8498
Fax Number :
Provider Business Practice Location Address
First Line : 104 SPINK ST
Second Line :
City : WOOSTER
State : OH
Zip : 44691-3652
Country : US
Telephone Number : 330-264-8498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 06/07/2026

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