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

Mary Peterson, ASW

Individual provider Mental Health Counselor · NPI 1053926766

Mary Peterson, ASW is a Mental Health Counselor in Sebastopol, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone: (707) 634-9050
Fax: (707) 823-3410
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 ASW94291 (CA)

Record details

NPI number1053926766
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 9, 2020

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