Thomas Peterson
Thomas Peterson is a Mental Health Counselor in Grand Rapids, Michigan. Licensed in Kentucky and Michigan. Registered with an NPI since 2024.
- Licensed in
- KY, MI
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2151 Ridgecrest Rd SE Apt 8Grand Rapids, MI 49546-4366
Phone: (502) 439-7039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 6401224433 (MI) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 270750 (KY) |
Record details
| NPI number | 1639985880 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 3, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
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