IndividualActive
David Peters
NPI 1003470436 · Marriage & Family Therapist · Blackfoot, ID
Provider details
- NPI number
- 1003470436
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMFT-2978 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
720 East Alice
Blackfoot, ID 83221
Phone: (208) 782-9874
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 129
Blackfoot, ID 83221-0129
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.