Petersen, Scott

Petersen, Scott is an sole proprietor health care provider with primary practice located at 2204 S Dobson Rd Ste 201 , Mesa AZ 85202-6457. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Petersen, Scott can be contacted via phone (480) 371-4516.

Contact Information

Primary practice address
2204 S Dobson Rd Ste 201 Mesa AZ 85202-6457
Phone: (480) 371-4516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11778 Arizona
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-10277 Arizona

Profile Details

NPI number 1922420082
LBN Legal business name Petersen, Scott
Credentials DBH, LMFT, LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2014
Last updated Jun 24th, 2022 - about 4 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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