Provider Demographics
NPI:1801257993
Name:HOPKINS, PETER (LMHC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22232 17TH AVE SE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-7430
Mailing Address - Country:US
Mailing Address - Phone:425-487-3885
Mailing Address - Fax:425-487-4884
Practice Address - Street 1:22232 17TH AVE SE
Practice Address - Street 2:SUITE 312
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7430
Practice Address - Country:US
Practice Address - Phone:425-487-3885
Practice Address - Fax:425-487-4884
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60497645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health