Benjamin Bradley Peterson
Benjamin Bradley Peterson is a Contractor in Fort Collins, Colorado. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3521 Stanford Rd Apt 308-0312Fort Collins, CO 80525-4079
Phone: (612) 408-9870
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Contractor | Taxonomy 171W00000X |
Record details
| NPI number | 1093563769 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2024 |
| Last updated in NPPES | May 8, 2024 |
| Certification date | May 2, 2024 |
| Mailing address | 3521 Stanford Rd Apt 308-0312, Fort Collins, CO 80525-4079 |
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