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1225670391
PETER MICHAEL JOSEPH
LONG BEACH, CA
NPI
1225670391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 112781)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
PETER MICHAEL JOSEPH AMFT
2211 E OCEAN BLVD
LONG BEACH, CA 90803-2440
Phone number: 562-434-4060
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Mailing Address
PETER MICHAEL JOSEPH AMFT
104 WELCOME LN
SEAL BEACH, CA 90740-5974
Phone number: 562-852-0046
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