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1245907898
ZACHARY ALAN PETERSON
COLUMBUS, OH
NPI
1245907898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.175624)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
ZACHARY ALAN PETERSON CDCA
4998 W BROAD ST STE 104
COLUMBUS, OH 43228-1647
Phone number: 614-754-8051
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Mailing Address
ZACHARY ALAN PETERSON CDCA
722 COLLINS AVE APT G
MARYSVILLE, OH 43040-1480
Phone number: 937-303-3566
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