Peterson, Glenn A

Peterson, Glenn A is an individual health care provider with primary practice located at 5870 Arlington Ave # 103, Riverside CA 92504-2037. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Peterson, Glenn A can be contacted via phone (951) 683-6596.

Contact Information

Primary practice address
5870 Arlington Ave # 103 Riverside CA 92504-2037
Phone: (951) 683-6596
Fax: (951) 683-4239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1629314729
LBN Legal business name Peterson, Glenn A
Credentials CADC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Aug 12th, 2016 - about 10 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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