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

Mary Petersen

Individual provider Mental Health Counselor · NPI 1417306267

Mary Petersen is a Mental Health Counselor in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

13561 Lakes Way
Orlando, FL 32828-8154
Phone: (407) 388-8305
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 IMH12418 (FL)

Record details

NPI number1417306267
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2016
Last updated in NPPESJune 11, 2016

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