Individual
MR. AUSTIN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-8750
(805) 781-3535
Mailing address
6088 MARSHALL WAY, SAN LUIS OBISPO, CA 93401-8264
(805) 602-6587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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