Individual
MR. DAVID KIM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-3423
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913
(501) 620-5130
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P8904003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
01
—
5T108
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
01/26/2006
Last updated
12/19/2008
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