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1407901358
GERALD EDWARD PETERSON
EUREKA, CA
NPI
1407901358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 52818)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
-- GERALD EDWARD PETERSON MFTI
1802 CALIFORNIA ST
EUREKA, CA 95501-2808
Phone number: 707-443-7358
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Mailing Address
-- GERALD EDWARD PETERSON MFTI
980 13TH ST
ARCATA, CA 95521-5562
Phone number: 707-443-7358
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