Organization
JAYSON PETERSON, MED, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSON PETERSON LMFT (OWNER)
(541) 513-5391
Entity
Organization
Contact information
Practice address
42 W 25TH AVE, EUGENE, OR 97405-3137
(541) 513-5391
Mailing address
4640 LEONA CT, EUGENE, OR 97402-1224
(541) 513-5391
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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