person
Mr. Gary Robert Peterson, MA,LMHC,CEAP,SAP
Mental Health Counselor in Jacksonville Beach, Florida
NPI 1164589610

Gary Robert Peterson is a Mental Health Counselor based in Jacksonville Beach, FL and is specialized in Mental Health. Gary Robert Peterson practices in Jacksonville Beach, FL and has the professional credentials of MA,LMHC,CEAP,SAP. The NPI Number for Gary Robert Peterson is 1164589610 and holds a License No. MH0001443 (Florida).

The current practice location address for Gary Robert Peterson is 1538 The Greens Way Ste 101, Jacksonville Beach, FL and can be reached out via phone at 904-543-0161 and via fax at 904-543-9172.

Location: 1538 The Greens Way Ste 101, Jacksonville Beach, FL, 32250-1400
person
Provider Profile Details
NPI Number
1164589610
Provider Name
Gary Robert Peterson
Credential
MA,LMHC,CEAP,SAP
Provider Entity Type
Individual
Gender
Male
Address
1538 The Greens Way Ste 101, Jacksonville Beach, FL, 32250-1400
Phone Number
904-543-0161
Fax Number
904-543-9172
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH0001443 01 FL LIC MENTAL HEALTH COU
institution
Provider Business Practice Location Address Details
Address
1538 The Greens Way Ste 101
City
State
Zip
32250-1400
Phone Number
904-543-0161
Fax Number
904-543-9172
person
Provider Business Mailing Address Details
Address
1538 The Greens Way Ste 101
City
State
Zip
32250-1400
Phone Number
904-543-0161
Fax Number
904-543-9172
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH0001443 (Florida)
Definition
Definition to come...
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