Linton Petersen

NPI #1124424957 in Forks, Washington

Provider Information

NPI Number: 1124424957
Entity Type: Individual
Name: Linton Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 5, 2014
Last Updated: Nov 5, 2014

Practice Location

Address: 530 BOGACHIEL WAY
City: Forks
State: Washington
ZIP Code: 98331-9120
Phone: (360) 374-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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