CARISSA S PETERSON B.S.
NPI 1316250533
Counselor - Mental Health in Worcester, MA
Active since July 16, 2010
About Carissa S Peterson B.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARISSA S PETERSON B.S. (NPI 1316250533) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since July 2010.
NPPES Registry Identity
NPI1316250533
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARISSA S PETERSONCredential: B.S.
Location Address335 CHANDLER STWorcester, MA 01602-3441
Mailing Address335 Chandler StWorcester, MA 01602-3441 · (508) 753-2967 · Fax (508) 767-3095
Phone(508) 753-2967
Fax(508) 767-3095
Sole ProprietorNo
Enumeration DateJuly 16, 2010
✔ NPI 1316250533 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
335 CHANDLER ST, Worcester, MA 01602
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Clinic/Center (Mental Health (Including Community Mental Health Center))
335 CHANDLER ST
WORCESTER, MA 01602
WORCESTER, MA 01602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316250533, enumerated as an "individual" on July 16, 2010.
The provider is located at 335 CHANDLER ST WORCESTER, MA 01602 and the phone number is (508) 753-2967.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.