Individual
MR. SCOTT L. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.
Contact information
Practice address
11011 S 48TH ST STE 200, PHOENIX, AZ 85044-1788
(480) 785-5769
Mailing address
11011 S 48TH ST STE 200, PHOENIX, AZ 85044-1788
(480) 785-5769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1823
AZ
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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