Michele Peterson Lcsw A Licensed Clinical Social Worker Corporation
Social Worker, Clinical in Temecula, CA. Organization (NPI-2).
NPI number1043036775
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1043036775
- Entity type
- Organization (NPI-2)
- Legal business name
- Michele Peterson Lcsw A Licensed Clinical Social Worker Corporation
- Organization subpart
- No
- Enumeration date
- Nov 26, 2024
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Michele Peterson Lcsw (Doing Business As)
Practice location
27349 Jefferson Ave Ste 102Temecula, CA 92590-5611
Phone 619-354-3812
Mailing address
24329 Bay Laurel AveMurrieta, CA 92562-2163
Phone 435-817-7004
Authorized official
Michele Peterson
President
4358177004
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