Petersen, Gordon E.

Petersen, Gordon E. is an sole proprietor health care provider with primary practice located at 9990 County Farm Rd Ste 6 , Riverside CA 92503-3542. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Petersen, Gordon E. can be contacted via phone (951) 358-7380.

Contact Information

Primary practice address
9990 County Farm Rd Ste 6 Riverside CA 92503-3542
Phone: (951) 358-7380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT38925 California

Profile Details

NPI number 1346304854
LBN Legal business name Petersen, Gordon E.
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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