Individual
NEAL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLMHC
Contact information
Practice address
1310 SOLAR DR, WATERLOO, IA 50701-2463
(319) 232-2086
Mailing address
1310 SOLAR DR, WATERLOO, IA 50701-2463
(319) 232-2086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
091327
IA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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