Individual
ALBERT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4744
Mailing address
1409 CEDAR ST, LIMA, OH 45804-2537
(567) 289-0055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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