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Individual

DARRIN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC/LSW

Contact information

Practice address
495 E MAIN ST, COLUMBUS, OH 43215-5349
(614) 355-8005
(614) 355-8030
Mailing address
PO BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-0509

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0700886
OH
104100000X
Social Worker
S0027574
OH

Other

Enumeration date
03/02/2007
Last updated
12/29/2011
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