Individual
MR. GORDON WILLIAM PETERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 E ST SE # 14, WASHINGTON, DC 20003-2593
(202) 673-9300
Mailing address
1905 E ST SE # 14, WASHINGTON, DC 20003-2593
(202) 673-9300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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