Mrs. Tandice Peterson
Mrs. Tandice Peterson is a Professional Counselor in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1777 E Clark St Ste 210Pocatello, ID 83201-3357
Phone: (208) 427-5891
Fax: (208) 427-5895
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence LCPC-7004 (ID) |
Record details
| NPI number | 1104199074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2012 |
| Last updated in NPPES | July 11, 2023 |
| Certification date | July 11, 2023 |
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