Individual
PETER J SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, MHP, CMHS
Contact information
Practice address
2101 4TH AVE E, SUITE 200, OLYMPIA, WA 98506-6512
(360) 786-9499
(360) 786-0758
Mailing address
PO BOX 11834, OLYMPIA, WA 98508-1834
(360) 402-0992
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60210516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021303
—
WA
Enumeration date
05/21/2012
Last updated
03/27/2015
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