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1922721885
MICHAEL ALLEN PETERSON
MCKINNEY, TX
NPI
1922721885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 58858)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
MICHAEL ALLEN PETERSON LCDCi
405 N MCDONALD ST STE B
MCKINNEY, TX 75069-3911
Phone number: 972-542-4144
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Mailing Address
MICHAEL ALLEN PETERSON LCDCi
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886
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