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1629314729
GLENN A PETERSON
RIVERSIDE, CA
NPI
1629314729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-12-17
Last Update Date
2016-08-12
Business Address
-- GLENN A PETERSON CADC-I
5870 ARLINGTON AVE # 103
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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Mailing Address
-- GLENN A PETERSON CADC-I
5870 ARLINGTON AVE SUITE 103
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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