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Organization

DRBACW INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT C PETERSON PH.D M.S. (OWNER)
(757) 941-8182
Entity
Organization

Contact information

Practice address
1309 JAMESTOWN RD STE 201, WILLIAMSBURG, VA 23185-3380
(757) 941-8182
(757) 500-0134
Mailing address
1309 JAMESTOWN RD STE 201, WILLIAMSBURG, VA 23185-3380
(757) 941-8182
(757) 500-0134

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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