Individual
MR. DEAN ERIC PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAC III
Contact information
Practice address
7114 W JEFFERSON AVE, #111, LAKEWOOD, CO 80235-2354
(303) 877-7798
Mailing address
10560 W ALAMO PL, LITTLETON, CO 80127-2039
(303) 877-7798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5507
CO
101YP2500X
Professional Counselor
Primary
2174
CO
Other
Enumeration date
08/03/2006
Last updated
05/18/2016
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