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Organization
PETERSEN ENTERPRISES INC
Active
Organization
PETERSEN ENTERPRISES INC
Active
Other names
Innovative Neurofeedback Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER PETERSEN MA, LPC (PRESIDENT)
(970) 234-1147
Entity
Organization
Contact information
Practice address
4529 STOVER ST, FORT COLLINS, CO 80525-3261
(970) 234-1147
Mailing address
4213 DURANGO PL, FORT COLLINS, CO 80526-4103
(970) 234-1147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2179
CO
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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