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

Nicole Petersen

Individual provider Professional Counselor · NPI 1043104177

Nicole Petersen is a Professional Counselor in Edmond, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1019 Waterwood Pkwy Ste B
Edmond, OK 73034-5329
Phone: (405) 648-8978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1043104177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address1019 Waterwood Pkwy Ste B, Edmond, OK 73034-5329

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