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1891909057
JENNIFER K PETERSON
VENTURA, CA
NPI
1891909057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Miss JENNIFER K PETERSON
955 E THOMPSON BLVD
VENTURA, CA 93001-3008
Phone number: 805-641-9100
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Mailing Address
Miss JENNIFER K PETERSON
342 E BOUNDS RD
VENTURA, CA 93001-1157
Phone number: 805-643-5767
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