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Organization
PETER SHOLLEY MFT
Active
Organization
PETER SHOLLEY MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER N SHOLLEY MA, MFT (PSYCHOTHERAPIST)
(415) 820-3969
Entity
Organization
Contact information
Practice address
651 CHERRY ST, SANTA ROSA, CA 95404-4202
(415) 820-3969
Mailing address
779 SUMMERFIELD RD, SANTA ROSA, CA 95405-7103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFCC# 53511
CA
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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