Douglas Brent Petersen in Santa Rosa - Marriage & Family Therapist
Douglas Brent Petersen - NPI 1679627178
Douglas Brent Petersen is a Marriage & Family Therapist in Santa Rosa, California. Douglas Brent Petersen practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Douglas Brent Petersen is 1679627178. The last update date is 2014-08-18.
Douglas Brent Petersen's current location address is 3333 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075655004. The mailing address for Douglas Brent Petersen is 3333 Chanate Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Brent Petersen |
|---|---|
| Address | 3333 Chanate Rd, Santa Rosa, California |
| Phone Number | 7075655004 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679627178 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2014-08-18 |
Provider Mailing Address Detail
| Address | 3333 Chanate Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954041707 |
| Phone Number | 7075655004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 30648 |
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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 |
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What is the unique 10-digit identifier code issued to Douglas Brent Petersen by the Centers for Medicare & Medicaid Services?
The Douglas Brent Petersen has been assigned the NPI (National Provider Identifier) 1679627178 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Douglas Brent Petersen?
The Douglas Brent Petersen is physically situated at 3333 Chanate Rd, in the city of Santa Rosa, state of CA, with the postal code 954041707.
What is Douglas Brent Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas Brent Petersen is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
When did the Douglas Brent Petersen receive its 1679627178?
The Douglas Brent Petersen was issued its 1679627178 on 2007-01-22, which is the date when the organization was assigned this unique identifier.
When was the information related to Douglas Brent Petersen most recently updated or refreshed?
The details pertaining to the Douglas Brent Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-18.