Kimberly Peterson | Stafford, TX • PECOS Search

Kimberly Peterson

Counselor

Behavioral Health & Social Service Providers

12371 S Kirkwood Rd, Stafford, TX 77477-2836

(713) 995-9292 (832) 647-3835

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Peterson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1598092603
Provider Type
Individual
Full Name
Peterson, Kimberly
Credential
LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/10/2009
Last Updated
8/11/2010

Contact Information

Practice Location

12371 S Kirkwood Rd, Stafford, TX 77477-2836

Unlisted Fax

Mailing Location

7418 Stonebridge Creek Ln, Humble, TX 77396-4142

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 63953 Texas