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Individual

MICHAEL ALLEN PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDCI

Contact information

Practice address
405 N MCDONALD ST STE B, MCKINNEY, TX 75069-3911
(972) 542-4144
(480) 687-7361
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(480) 687-7361

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
58858
TX

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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