Individual
DIANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
603 KEY ROUTE BLVD, ALBANY, CA 94706-1498
(510) 559-6655
Mailing address
603 KEY ROUTE BLVD, ALBANY, CA 94706-1498
(510) 559-6655
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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