Rita Peterson, L.M.F.T., L.P.C.
Counselor, Professional in Philadelphia, PA. Individual provider (NPI-1).
NPI number1376862011
StatusActive
Last updated in NPPESMay 15, 2018
Details
- NPI
- 1376862011
- Entity type
- Individual (NPI-1)
- Name
- Rita Peterson
- Credential
- L.M.F.T., L.P.C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2010
- Last updated
- May 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC008849 | PA | Yes |
| 101YM0800X | Counselor, Mental Health | MH14517 | FL | |
| 101YP2500X | Counselor, Professional | 64335 | TX | |
| 106H00000X | Marriage & Family Therapist | 201347 | TX |
Practice location
325 Chestnut St Ste 800Philadelphia, PA 19106
Phone 214-793-9833
Mailing address
901 N Penn St Unit F1101Philadelphia, PA 19123-3250
Phone 214-793-9833
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