MR. Gary Robert Peterson, MA,LMHC,CEAP,SAP
NPI #1164589610 in Jacksonville Beach, Florida
Provider Information
- NPI Number
- 1164589610
- Entity Type
- Individual
- Name
- MR. Gary Robert Peterson, MA,LMHC,CEAP,SAP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA,LMHC,CEAP,SAP
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1538 THE GREENS WAY STE 101
- State
- Florida
- ZIP Code
- 32250-1400
- Phone
- (904) 543-0161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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