Individual
BJOERN PAOLO PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9047 ARROW RTE STE 170, RANCHO CUCAMONGA, CA 91730-4434
(909) 466-8696
Mailing address
PO BOX 861582, LOS ANGELES, CA 90086-1582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/02/2008
Last updated
06/28/2013
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