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Individual
MR. THOMAS MICHAEL PETERSON
Active
Individual
MR. THOMAS MICHAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCA, NCC, CCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13471
NC
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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