Peterson, Jacqueline
Peterson, Jacqueline is an sole proprietor health care provider with primary practice located at 1830 Destiny Ln Suite 107, Bowling Green KY 42104-1087. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Peterson, Jacqueline can be contacted via phone (270) 846-3222.Contact Information
Primary practice address
1830 Destiny Ln Suite 107
Bowling Green KY 42104-1087
Phone: (270) 846-3222
Fax: (270) 846-3228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 05-0006 | Kentucky |
Profile Details
| NPI number | 1609079847 |
|---|---|
| LBN Legal business name | Peterson, Jacqueline |
| Credentials | M.A.E. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2007 |
| Last updated | Jun 23rd, 2014 - about 10 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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