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Individual

ROGER WAYNE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHP

Contact information

Practice address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
(402) 926-3898
Mailing address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
(402) 926-3898

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3262
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3262
MENTAL HEALTH PRACTITIONER
NE
Enumeration date
03/24/2009
Last updated
03/24/2009
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