Individual
MR. ALEXANDER LASZLO PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1411 SW MORRISON ST STE 310, PORTLAND, OR 97205-1945
(503) 352-2400
Mailing address
4500 TRUXEL RD APT 834, SACRAMENTO, CA 95834-3739
(703) 774-4072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2020
Last updated
07/07/2022
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