BENJAMIN BRADLEY PETERSON

FORT COLLINS, CO
NPI1093563769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171W00000X Contractor
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
BENJAMIN BRADLEY PETERSON
3521 STANFORD RD APT 308-0312
FORT COLLINS, CO 80525-4079
Phone number: 612-408-9870
Mailing Address
BENJAMIN BRADLEY PETERSON
3521 STANFORD RD APT 308-0312
FORT COLLINS, CO 80525-4079
Phone number: 612-408-9870
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