Peterson, Michael Terrill

Peterson, Michael Terrill is an sole proprietor health care provider with primary practice located at 2020 Peach Orchard Dr Apt 31 , Falls Church VA 22043-2048. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Peterson, Michael Terrill can be contacted via phone (217) 621-1331.

Contact Information

Primary practice address
2020 Peach Orchard Dr Apt 31 Falls Church VA 22043-2048
Phone: (217) 621-1331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X 1490164 Illinois

Profile Details

NPI number 1972852978
LBN Legal business name Peterson, Michael Terrill
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2012
Last updated Apr 17th, 2023 - about 3 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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