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TIERRA PETERSEN
NPI 1710650429
Counselor - Mental Health in Mccleary, WA

Active since July 28, 2021
322 S BIRCH ST, MCCLEARY, WA 98557(360) 208-9625 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tierra Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIERRA PETERSEN (NPI 1710650429) is an individual mental health provider in Mccleary, Washington and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1710650429
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIERRA PETERSEN
Location Address322 S BIRCH STMccleary, WA 98557-9522
Mailing Address322 S Birch StMccleary, WA 98557-9522 · (360) 208-9625
Phone(360) 208-9625
Sole ProprietorNo
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
✔ NPI 1710650429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
322 S BIRCH ST, Mccleary, WA 98557
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN BRIX REGISTERED NURSE
Registered Nurse
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 984-4370
DAMIAN BOLLWEG
Counselor (Mental Health)
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 205-4812
STEPHANIE LOGAN
Registered Nurse (Psychiatric/Mental Health)
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 208-9625
MICHAEL JOSEPH MILLER
Counselor (Mental Health)
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 205-4750
LOGAN SEARS
Counselor (Mental Health)
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 208-9625
JENNIFER BOWEN RN
Registered Nurse (Psychiatric/Mental Health)
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 205-4750
BRIAN DRAKE RN
Registered Nurse (Psychiatric/Mental Health)
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 205-4750
SABINE WALLOCK
Registered Nurse
322 S BIRCH ST
MCCLEARY, WA 98557
Grays Harbor County (360) 205-4750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tierra Petersen's NPI number?

The NPI number for Tierra Petersen is 1710650429. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Tierra Petersen located?

Tierra Petersen practices at 322 S Birch St, Mccleary, WA 98557. The listed phone number is (360) 208-9625.

What is Tierra Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tierra Petersen was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.