NPI 1003470436

David Peters

Practitioner Marriage & Family Therapist Blackfoot, ID

Practice location

Address: 720 East Alice, Blackfoot, ID 83221
Phone: (208) 782-9874
Mailing address: PO Box 129, Blackfoot, ID 83221-0129

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT-2978 (ID)

Other Marriage & Family Therapist providers in Idaho →

Registry record

NPI: 1003470436
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2019
Record last updated: 1 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.