Individual
MR. MILTON PETERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
5711 LAVENDER ST, HOUSTON, TX 77026-1725
(713) 557-8573
Mailing address
2353 AVENUE M APT 29, HUNTSVILLE, TX 77340-5752
(936) 439-5746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC#696
TX
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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