Peterson, Jon W

Peterson, Jon W is an individual health care provider with primary practice located at 25401 Cabot Rd Suite 213, Laguna Hills CA 92653-5524. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, Jon W can be contacted via phone (949) 363-7386.

Contact Information

Primary practice address
25401 Cabot Rd Suite 213 Laguna Hills CA 92653-5524
Phone: (949) 363-7386
Fax: (949) 363-8974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 6987 California

Profile Details

NPI number 1972549236
LBN Legal business name Peterson, Jon W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 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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