Individual
MR. ERIK JON PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9139 RIDGELINE BLVD, HIGHLANDS RANCH, CO 80129-2333
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012435
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026708
KAISER COMMERCIAL NUMBER
CO
05
—
84054212
—
CO
Enumeration date
11/13/2008
Last updated
03/14/2021
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