Individual
JAMES M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
100 CALDWELL DR, DU BOIS, PA 15801-1152
(814) 765-5337
Mailing address
100 CALDWELL DR, DU BOIS, PA 15801-1152
(814) 765-5337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
10/22/2009
Last updated
06/21/2011
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