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Organization

PETERSEN ENTERPRISES INC

Active
Other names
Innovative Neurofeedback Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER PETERSEN MA, LPC (PRESIDENT)
(970) 234-1147
Entity
Organization

Contact information

Practice address
4529 STOVER ST, FORT COLLINS, CO 80525-3261
(970) 234-1147
Mailing address
4213 DURANGO PL, FORT COLLINS, CO 80526-4103
(970) 234-1147

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2179
CO

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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