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Individual

CHA PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(763) 670-8029
Mailing address
3616 DIXON ST, TEMPLE HILLS, MD 20748-4217
(763) 670-8029

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC200002014
DC

Other

Enumeration date
03/28/2023
Last updated
03/15/2024
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