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Mr. Lewis Dale Peterson
Marriage & Family Therapist in San Luis Obispo, California
NPI 1265723092

Lewis Dale Peterson is a Marriage & Family Therapist based in San Luis Obispo, CA. Lewis Dale Peterson practices in San Luis Obispo, CA. The NPI Number for Lewis Dale Peterson is 1265723092 and holds a License No. 64563 (California).

The current practice location address for Lewis Dale Peterson is 2180 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-781-4286.

Location: 2180 Johnson Ave, San Luis Obispo, CA, 93401-4513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265723092
Provider Name
Lewis Dale Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2180 Johnson Ave, San Luis Obispo, CA, 93401-4513
Phone Number
805-781-4286
Fax Number
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4513
Phone Number
805-781-4286
Fax Number
person
Provider Business Mailing Address Details
Address
2180 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4513
Phone Number
805-781-4286
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
64563 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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