James Martin Petersen, BASW, CCM, CBIST

NPI #1467087494 in Whitehall, Michigan

Provider Information

NPI Number
1467087494
Entity Type
Individual
Name
James Martin Petersen, BASW, CCM, CBIST
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
BASW, CCM, CBIST
Enumeration Date
Mar 10, 2020
Last Updated
Mar 10, 2020

Practice Location

Address
137 HOLTON WHITEHALL RD
ZIP Code
49461-9543
Phone
(231) 893-1462

Specialties & Taxonomy Codes

Specialty
Social Worker

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