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Lisa Marie Peterson
Mental Health Counselor in San Luis Obispo, California
NPI 1154983682

Lisa Marie Peterson is a Mental Health Counselor based in San Luis Obispo, CA and is specialized in Mental Health. Lisa Marie Peterson practices in San Luis Obispo, CA. The NPI Number for Lisa Marie Peterson is 1154983682 and holds a License No. (California).

The current practice location address for Lisa Marie Peterson is 784 High St, San Luis Obispo, CA and can be reached out via phone at 805-503-0350.

Location: 784 High St, San Luis Obispo, CA, 93406-5408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154983682
Provider Name
Lisa Marie Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
784 High St, San Luis Obispo, CA, 93406-5408
Phone Number
805-503-0350
Fax Number
Provider Enumeration Date
07/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
784 High St
City
San Luis Obispo
State
California
Zip
93401-5243
Phone Number
805-503-0350
Fax Number
person
Provider Business Mailing Address Details
Address
784 High St
City
San Luis Obispo
State
California
Zip
93401-5243
Phone Number
805-503-0350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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