Provider Demographics
NPI:1497194393
Name:ST. PETER, ERIKA OSSES
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:OSSES
Last Name:ST. PETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 FOREST RIDGE CT N
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-1646
Mailing Address - Country:US
Mailing Address - Phone:253-455-8279
Mailing Address - Fax:
Practice Address - Street 1:2705 FOREST RIDGE CT N
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-1646
Practice Address - Country:US
Practice Address - Phone:253-455-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health