NPI 1306286539

Jon C Peters, LCSW

Practitioner Clinical Social Worker Seymour, IN

Practice location

Address: 707 S Jackson Park Dr, Seymour, IN 47274-2627
Phone: (812) 522-2416
Mailing address: 4860 Robb St Suite 201, Wheat Ridge, CO 80033-2184

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34004348A (IN)

Other Social Worker providers in Indiana →

Registry record

NPI: 1306286539
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2013
Record last updated: 2 Jul 2013

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.