Petersen, Lavon L
Petersen, Lavon L is an sole proprietor health care provider with primary practice located at 94-1018 Halehau St , Waipahu HI 96797-4767. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Petersen, Lavon L can be contacted via phone (808) 829-1717.Contact Information
Primary practice address
94-1018 Halehau St
Waipahu HI 96797-4767
Phone: (808) 829-1717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4815 | Hawaii |
Profile Details
| NPI number | 1013650365 |
|---|---|
| LBN Legal business name | Petersen, Lavon L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2022 |
| Last updated | Apr 24th, 2022 - about 2 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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