Individual
DEREK PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1829
(610) 385-3155
Mailing address
1125 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1829
(610) 385-3155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/12/2023
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