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1447897806
WADE CHRISTIAN PETERSON
DALLAS, TX
NPI
1447897806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 80077)
Enumeration Date
2019-12-04
Last Update Date
2022-07-24
Business Address
Mr. WADE CHRISTIAN PETERSON MA, LPC, NCC
4144 N CENTRAL EXPY STE 850
DALLAS, TX 75204-3226
Phone number: 972-865-8782
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Mailing Address
Mr. WADE CHRISTIAN PETERSON MA, LPC, NCC
16516 PORTERFIELD LANE
FORT WORTH, TX 76247
Phone number:
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