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Shawn William Peterson
Mental Health Counselor in Santa Cruz, California
NPI 1942508163

Shawn William Peterson is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Shawn William Peterson practices in Santa Cruz, CA. The NPI Number for Shawn William Peterson is 1942508163 and holds a License No. (California).

The current practice location address for Shawn William Peterson is 941 El Dorado Ave, Santa Cruz, CA and can be reached out via phone at 831-251-5699.

Location: 941 El Dorado Ave, Santa Cruz, CA, 95062-2863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942508163
Provider Name
Shawn William Peterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
941 El Dorado Ave, Santa Cruz, CA, 95062-2863
Phone Number
831-251-5699
Fax Number
Provider Enumeration Date
03/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
941 El Dorado Ave
City
Santa Cruz
State
California
Zip
95062-2863
Phone Number
831-251-5699
Fax Number
person
Provider Business Mailing Address Details
Address
941 El Dorado Ave
City
Santa Cruz
State
California
Zip
95062-2863
Phone Number
831-251-5699
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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