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1235642760
THOMAS MICHAEL PETERSON
CHARLOTTE, NC
NPI
1235642760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC A13471)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
MR. THOMAS MICHAEL PETERSON MS, LPCA, NCC, CCMHC
415 E 4TH ST
CHARLOTTE, NC 28202-2405
Phone number: 704-377-5042
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Mailing Address
MR. THOMAS MICHAEL PETERSON MS, LPCA, NCC, CCMHC
7919 ANGELICA LN APT 204
CHARLOTTE, NC 28277-3088
Phone number: 732-233-6777
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