Mr. Wade Christian Peterson, MA, LPC, NCC
Mr. Wade Christian Peterson, MA, LPC, NCC is a Mental Health Counselor in Dallas, Texas. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Texas.
- Years since qualifying
- 9
- Licensed in
- TX
- In the registry since
- 2019
What do these letters mean?
Practice location Address checks out
4144 N Central Expy Ste 850Dallas, TX 75204-3226
Phone: (972) 865-8782
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 80077 (TX) |
|---|
Record details
| NPI number | 1447897806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , LPC , NCC |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2019 |
| Last updated in NPPES | July 24, 2022 |
| Certification date | July 24, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Not indicated |
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