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Organization
THE THERAPY COUCH BY JENNYFER PETERSON PSYCHOLOGIST INC
Active
Organization
THE THERAPY COUCH BY JENNYFER PETERSON PSYCHOLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENYFFER PETERSON (CEO)
(949) 394-4049
Entity
Organization
Contact information
Practice address
235 MONTANA DEL LAGO DR, RSM, CA 92688-1361
(949) 394-4049
Mailing address
235 MONTANA DEL LAGO DR, RSM, CA 92688-1361
(949) 394-4049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/18/2023
Last updated
10/19/2023
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