GERALD EDWARD PETERSON

EUREKA, CA
NPI1407901358
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  52818)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
-- GERALD EDWARD PETERSON MFTI
1802 CALIFORNIA ST
EUREKA, CA 95501-2808
Phone number: 707-443-7358
Mailing Address
-- GERALD EDWARD PETERSON MFTI
980 13TH ST
ARCATA, CA 95521-5562
Phone number: 707-443-7358