Provider Demographics
NPI:1942721097
Name:TOLSON, PETER (LMHC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:TOLSON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CHESTNUT ST STE F
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2422
Mailing Address - Country:US
Mailing Address - Phone:607-267-9456
Mailing Address - Fax:
Practice Address - Street 1:48 DIETZ ST STE I
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1827
Practice Address - Country:US
Practice Address - Phone:607-267-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health