DOUGLAS BRENT PETERSEN

SANTA ROSA, CA
NPI1679627178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  30648)
Enumeration Date2007-01-22
Last Update Date2014-08-18
Business Address
-- DOUGLAS BRENT PETERSEN
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-5004
Mailing Address
-- DOUGLAS BRENT PETERSEN
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number:
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