Peterson, Kimberly

Peterson, Kimberly is an individual health care provider with primary practice located at 1160 N Dutton Ave Suite 105, Santa Rosa CA 95401-4600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Peterson, Kimberly can be contacted via phone (707) 545-2700.

Contact Information

Primary practice address
1160 N Dutton Ave Suite 105 Santa Rosa CA 95401-4600
Phone: (707) 545-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 65068 California

Profile Details

NPI number 1225396583
LBN Legal business name Peterson, Kimberly
Credentials MA, MFTI
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Nov 5th, 2013 - about 13 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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