Doctor Name: | LINDA PETERBURS |
NPI Number: | 1154759058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, LAC |
License Number: | LPC0011608 |
Business Practice Address: | 801 N Weber St 203 Colorado Springs, CO - 809035927 |
Business Phone Number: | 7194393135 |
Business Fax Number: | |
Mailing Address: | 1503 Buena Ventura Cir, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809077211 |
Phone Number: | 7194393135 |
Fax Number: | 7193449938 |
NPI Enumeration Date: | 10/31/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC0011608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |