Richard James Petersen
NPI #1316754849 in Susanville, California
Provider Information
- NPI Number
- 1316754849
- Entity Type
- Individual
- Name
- Richard James Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 17, 2024
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 44 N LASSEN ST
- City
- Susanville
- State
- California
- ZIP Code
- 96130-3966
- Phone
- (530) 310-0169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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