Derek Petersen
NPI #1730890401 in Douglassville, Pennsylvania
Provider Information
- NPI Number
- 1730890401
- Entity Type
- Individual
- Name
- Derek Petersen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 13, 2022
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 1125 BEN FRANKLIN HWY W
- City
- Douglassville
- State
- Pennsylvania
- ZIP Code
- 19518-1829
- Phone
- (610) 385-3155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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