Organization
JANIS L PETERSON PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIS L PETERSON PHD (PRESIDENT)
(253) 851-3808
Entity
Organization
Contact information
Practice address
4411 POINT FOSDICK DR STE 307, GIG HARBOR, WA 98335-1703
(253) 851-3808
(253) 851-3188
Mailing address
4411 POINT FOSDICK DR STE 307, GIG HARBOR, WA 98335-1703
(253) 851-3808
(253) 851-3188
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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