Individual
DAVID WEST PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TH.M., L.P.C.
Contact information
Practice address
5401 FALLOWATER LN, SUITE C, ROANOKE, VA 24018-0948
(540) 989-1383
(540) 989-8092
Mailing address
5401 FALLOWATER LN, SUITE C, ROANOKE, VA 24018-0948
(540) 989-1383
(540) 989-8092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000697
VA
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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