Individual
MR. THEODORE PETERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
1311 POWDERHORN PL # 1311, PISCATAWAY, NJ 08854-1489
(201) 774-3774
Mailing address
1311 POWDERHORN PL # 1311, PISCATAWAY, NJ 08854-1489
(201) 774-3774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00955700
NJ
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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