Mr Darryl Wayne Peterson Ii, - Counselor in Canton, OH

Mr Darryl Wayne Peterson Ii, is a Counselor - Mental Health based in Canton, Ohio. Mr Darryl Wayne Peterson Ii is licensed to practice in * (Not Available) (license number ) and his current practice location is 3040 Wicker St Ne, Canton, Ohio. He can be reached at his office (for appointments etc.) via phone at (234) 521-1318.

NPI number for Mr Darryl Wayne Peterson Ii is 1679117386 and his current mailing address is 2605 Broad Ave Nw, Canton, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679117386.

Contact Information

Mr Darryl Wayne Peterson Ii,
3040 Wicker St Ne,
Canton, OH 44721-2298
(234) 521-1318
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Darryl Wayne Peterson Ii
GenderMale
SpecialityCounselor - Mental Health
Location3040 Wicker St Ne, Canton, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679117386
  • Provider Enumeration Date: 11/05/2019
  • Last Update Date: 06/28/2023

Medical Identifiers

Medical identifiers for Mr Darryl Wayne Peterson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679117386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Darryl Wayne Peterson Ii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Darryl Wayne Peterson Ii,
2605 Broad Ave Nw,
Canton, OH 44708-2400

Ph: () -
Mr Darryl Wayne Peterson Ii,
3040 Wicker St Ne,
Canton, OH 44721-2298

Ph: (234) 521-1318

Reviews and Comments


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