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Jacqueline Nicole Peterson
Counselor in San Diego, California
NPI 1992967459

Jacqueline Nicole Peterson is a Counselor based in San Diego, CA. Jacqueline Nicole Peterson practices in San Diego, CA. The NPI Number for Jacqueline Nicole Peterson is 1992967459 and holds a License No. (California).

The current practice location address for Jacqueline Nicole Peterson is 6160 Mission Gorge Rd, San Diego, CA and can be reached out via phone at 619-281-3701 and via fax at 619-281-3714.

Location: 6160 Mission Gorge Rd, San Diego, CA, 92120-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992967459
Provider Name
Jacqueline Nicole Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6160 Mission Gorge Rd, San Diego, CA, 92120-3410
Phone Number
619-281-3701
Fax Number
619-281-3714
Provider Enumeration Date
06/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6160 Mission Gorge Rd
City
San Diego
State
California
Zip
92120-3410
Phone Number
619-281-3701
Fax Number
619-281-3714
person
Provider Business Mailing Address Details
Address
6160 Mission Gorge Rd
City
San Diego
State
California
Zip
92120-3410
Phone Number
619-281-3701
Fax Number
619-281-3714
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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