Provider Demographics
NPI:1306445283
Name:PETERSON, MARGRET ANNE MARIE (LMHCA, MA)
Entity type:Individual
Prefix:
First Name:MARGRET
Middle Name:ANNE MARIE
Last Name:PETERSON
Suffix:
Gender:F
Credentials:LMHCA, MA
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHCA, MA
Mailing Address - Street 1:11018 NE 18TH ST APT A7
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-4331
Mailing Address - Country:US
Mailing Address - Phone:360-952-9613
Mailing Address - Fax:
Practice Address - Street 1:11018 NE 18TH ST APT A7
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4331
Practice Address - Country:US
Practice Address - Phone:360-952-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC.70003379101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health