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Kent G. Peterson, LMHC

Counselor, Mental Health in Orlando, FL. Individual provider (NPI-1).

NPI number1316049539
StatusActive
Last updated in NPPESApr 2, 2021

Details

NPI
1316049539
Entity type
Individual (NPI-1)
Name
Mr. Kent G. Peterson
Credential
LMHC
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 1, 2006
Certification date
Apr 2, 2021
Last updated
Apr 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH 00547FLYes

Practice location

1817 Crescent Blvd Ste 101d
Orlando, FL 32817-4619

Phone 407-883-9900

Mailing address

13031 Lexington Summit St
Orlando, FL 32828-4309

Phone 407-883-9900

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