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

Kristina Petersen

Individual provider Clinical Social Worker · NPI 1104229806

Kristina Petersen is a Clinical Social Worker in Bullhead City, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
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Practice location Address checks out

2580 Hway 95 # 1250
Bullhead City, AZ 86442-7491
Phone: (928) 763-7776
Fax: (928) 763-7786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13439 (AZ)

Record details

NPI number1104229806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 8, 2014

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