Peterson, Michele Lee
Peterson, Michele Lee is an sole proprietor health care provider with primary practice located at 29970 Technology Dr Ste 216 , Murrieta CA 92563-2649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Michele Lee can be contacted via phone (619) 354-3812.Contact Information
Primary practice address
29970 Technology Dr Ste 216
Murrieta CA 92563-2649
Phone: (619) 354-3812
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 309873-3501 | Utah |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 73177 | California |
Profile Details
NPI number | 1275526980 |
---|---|
LBN Legal business name | Peterson, Michele Lee |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 27th, 2005 |
Last updated | Mar 17th, 2024 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275526980 | NPPES |
Hawaii | Other | 0000252015 | HMSA, QUEST, AND TRI-CARE |
Hawaii | Other | 281460238 | HMSA, QUEST, AND TRI-CARE |
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