Jacob Michael Peterson

NPI #1912391475 in Paradise, California

Provider Information

NPI Number: 1912391475
Entity Type: Individual
Name: Jacob Michael Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 23, 2015
Last Updated: Mar 23, 2015

Practice Location

Address: 7204 SKYWAY
City: Paradise
State: California
ZIP Code: 95969-3280
Phone: (530) 872-4128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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