Peterson, Tecya

Peterson, Tecya is an individual health care provider with primary practice located at 2081 Calistoga Dr Suite #2S, New Lenox IL 60451-4831. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Peterson, Tecya can be contacted via phone (815) 418-6070.

Contact Information

Primary practice address
2081 Calistoga Dr Suite #2S New Lenox IL 60451-4831
Fax: (779) 803-0169
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.101723 Illinois

Profile Details

NPI number 1033667167
LBN Legal business name Peterson, Tecya
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Sep 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033667167 NPPES
Illinois Other 150.101723 LICENSE

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