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1609083609
PETER K BURTIS
FORT BRAGG, CA
NPI
1609083609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT39126)
Enumeration Date
2007-05-17
Last Update Date
2023-02-05
Business Address
Mr. PETER K BURTIS LMFT
347 CYPRESS ST STE A
FORT BRAGG, CA 95437-5458
Phone number: 707-962-3161
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Mailing Address
Mr. PETER K BURTIS LMFT
PO BOX 653
MENDOCINO, CA 95460
Phone number:
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