Petersen, Sandra E

Petersen, Sandra E is an individual health care provider with primary practice located at 43613 Florida Ave Suite K, Hemet CA 92544-7202. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Petersen, Sandra E can be contacted via phone (951) 927-3585.

Contact Information

Primary practice address
43613 Florida Ave Suite K Hemet CA 92544-7202
Phone: (951) 927-3585
Fax: (951) 927-8012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MC 37270 California

Profile Details

NPI number 1821070368
LBN Legal business name Petersen, Sandra E
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1821070368 NPPES
California Other MC 37270 MARRIAGE FAMILY THERAPY

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