Peterson, Michele Lee

Peterson, Michele Lee is an sole proprietor health care provider with primary practice located at 29970 Technology Dr Ste 216 , Murrieta CA 92563-2649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Michele Lee can be contacted via phone (619) 354-3812.

Contact Information

Primary practice address
29970 Technology Dr Ste 216 Murrieta CA 92563-2649
Phone: (619) 354-3812
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 309873-3501 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 73177 California

Profile Details

NPI number 1275526980
LBN Legal business name Peterson, Michele Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2005
Last updated Mar 17th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275526980 NPPES
Hawaii Other 0000252015 HMSA, QUEST, AND TRI-CARE
Hawaii Other 281460238 HMSA, QUEST, AND TRI-CARE

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