Individual
JESSICA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E MARKET ST STE 205, ABERDEEN, WA 98520
(360) 870-6276
Mailing address
PO BOX 1447, CHEHALIS, WA 98532-0378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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