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NPI Code Detail

MEDICARE: PEREGRINE COUNSELING SERVICES PC

MEDICARE: PEREGRINE COUNSELING SERVICES PC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1760316392
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEREGRINE COUNSELING SERVICES PC
Provider Business Mailing Address
First Line : 9340 NE 76TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-3721
Country : US
Telephone Number : 360-798-0004
Fax Number : 360-253-5170
Provider Business Practice Location Address
First Line : 9340 NE 76TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-3721
Country : US
Telephone Number : 360-798-0004
Fax Number : 360-253-5170
Authorized Official
Title or Position : PRESIDENT
Name : BREANNA F FISCHER
Credential : LMHC
Telephone Number : 360-798-0004
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “PEREGRINE COUNSELING SERVICES PC ” Practice Location

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