Petersen, Michael Stephen

Petersen, Michael Stephen is an individual health care provider with primary practice located at 2425 Bisso Ln Ste 100 , Concord CA 94520-4817. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Petersen, Michael Stephen can be contacted via phone (925) 500-3093.

Contact Information

Primary practice address
2425 Bisso Ln Ste 100 Concord CA 94520-4817
Phone: (925) 500-3093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-DWMIVN California

Profile Details

NPI number 1871257535
LBN Legal business name Petersen, Michael Stephen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2021
Last updated Apr 15th, 2024 - about 7 months 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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