Individual
PETER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1801 S ALAMEDA ST, SUITE 150, CORPUS CHRISTI, TX 78404-2932
(361) 854-9199
(361) 854-9147
Mailing address
1801 S ALAMEDA ST, SUITE 150, CORPUS CHRISTI, TX 78404-2932
(361) 854-9199
(361) 854-9147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3555
TX
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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