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Charles Peterson
Professional Counselor in Wethersfield, Connecticut
NPI 1154798502

Charles Peterson is a Professional Counselor based in Longmeadow, CT and is specialized in Professional. Charles Peterson practices in Wethersfield, CT. The NPI Number for Charles Peterson is 1154798502 and holds a License No. 003293 (Connecticut).

The current practice location address for Charles Peterson is 185 Silas Deane Hwy, Wethersfield, CT and can be reached out via phone at 860-698-1680.

Location: 185 Silas Deane Hwy, Wethersfield, CT, 01106-2204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154798502
Provider Name
Charles Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
185 Silas Deane Hwy, Wethersfield, CT, 01106-2204
Phone Number
860-698-1680
Fax Number
Provider Enumeration Date
09/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115479-8502 05 CT
institution
Provider Business Practice Location Address Details
Address
185 Silas Deane Hwy
City
Wethersfield
State
Connecticut
Zip
06109
Phone Number
860-698-1680
Fax Number
person
Provider Business Mailing Address Details
Address
185 Silas Deane Hwy
City
Wethersfield
State
Connecticut
Zip
06109
Phone Number
860-698-1680
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
003293 (Connecticut)
Definition
Definition to come...
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