# JAYSON PETERSON, MED, LMFT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346889227
- **Authorized official:** JAYSON PETERSON LMFT (OWNER)
- **Authorized official phone:** (541) 513-5391

## Contact information

- **Practice address:** 42 W 25TH AVE, EUGENE, OR 97405-3137
- **Practice address phone:** (541) 513-5391
- **Mailing address:** 4640 LEONA CT, EUGENE, OR 97402-1224
- **Mailing address phone:** (541) 513-5391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/24/2019
- **Last updated:** 12/24/2019