Petersen, Erik Jon

Petersen, Erik Jon is an individual health care provider with primary practice located at 9139 Ridgeline Blvd , Highlands Ranch CO 80129-2333. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Petersen, Erik Jon can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
9139 Ridgeline Blvd Highlands Ranch CO 80129-2333
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0012435 Colorado

Profile Details

NPI number 1003060302
LBN Legal business name Petersen, Erik Jon
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Mar 14th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003060302 NPPES
Colorado Other 026708 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 84054212 KAISER COMMERCIAL NUMBER

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