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1043515919
PETER PETERSON
CORPUS CHRISTI, TX
NPI
1043515919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 3555)
Enumeration Date
2011-01-24
Last Update Date
2011-01-24
Business Address
-- PETER PETERSON LCDC
1801 S ALAMEDA ST SUITE 150
CORPUS CHRISTI, TX 78404-2932
Phone number: 361-854-9199
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Mailing Address
-- PETER PETERSON LCDC
1801 S ALAMEDA ST SUITE 150
CORPUS CHRISTI, TX 78404-2932
Phone number: 361-854-9199
Copy
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