Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Beau Petterson

Individual provider Counselor · NPI 1740168475

Austin Beau Petterson is a Counselor in Centralia, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone: (360) 330-9044
Fax: (360) 736-0689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG60904016 (WA)

Record details

NPI number1740168475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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