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

Rodney Petersen

Individual provider Mental Health Counselor · NPI 1295981728

Rodney Petersen is a Mental Health Counselor in Mount Shasta, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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Practice location Address checks out

1107 Ream Ave
Mount Shasta, CA 96067-9768
Phone: (530) 926-1436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1144273855 (CA)

Record details

NPI number1295981728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2008
Last updated in NPPESAugust 15, 2008

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