Michael Petersen

NPI #1093182552 in Saint George, Utah

Provider Information

NPI Number: 1093182552
Entity Type: Individual
Name: Michael Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 1067 E TABERNACLE ST
Address 2: SUITE 7
City: Saint George
State: Utah
ZIP Code: 84770-3163
Phone: (801) 255-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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