Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Hayden Petersen

Individual provider Mental Health Counselor · NPI 1730034877

Jeremy Hayden Petersen is a Mental Health Counselor in Mill Creek, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

16000 Bothell Everett Hwy Ste 360
Mill Creek, WA 98012-1577
Phone: (425) 357-9111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHCA.MC.70074370 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDPT.CO.70092032 (WA)

Record details

NPI number1730034877
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

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