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1093491417
DAVID JORDAN PETERSON
SPRINGDALE, AR
NPI
1093491417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AR A2304006)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
DAVID JORDAN PETERSON MS, LAC
109 N 48TH ST
SPRINGDALE, AR 72762-3743
Phone number: 479-222-0269
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Mailing Address
DAVID JORDAN PETERSON MS, LAC
5900 W STONEY BROOK RD APT 9106
ROGERS, AR 72758-4649
Phone number: 903-571-8955
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