Kyle Peterson, LCMHC
Kyle Peterson, LCMHC is a Mental Health Counselor in Cedar City, Utah. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 13
- Licensed in
- UT
- In the registry since
- 2018
Practice location Address checks out
415 N Main St Ste 101Cedar City, UT 84721-6158
Phone: (701) 852-3328
Fax: (651) 925-0057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 11390362-6004 (UT) |
|---|
Record details
| NPI number | 1972078251 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCMHC |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2018 |
| Last updated in NPPES | March 31, 2023 |
| Certification date | March 31, 2023 |
| Mailing address | 415 N Main St Ste 101, Cedar City, UT 84721-6158 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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