Peters, Roger Dale

Peters, Roger Dale is an sole proprietor health care provider with primary practice located at 330 Mchenry Ave , Modesto CA 95354-0561. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Peters, Roger Dale can be contacted via phone (209) 577-3595.

Contact Information

Primary practice address
330 Mchenry Ave Modesto CA 95354-0561
Phone: (209) 577-3595
Fax: (209) 577-4150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 42865 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC51816 California

Profile Details

NPI number 1952441966
LBN Legal business name Peters, Roger Dale
Credentials MH CLINICIAN II-MFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Nov 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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