| Charles Randolph Petersen, | |
|
900 7th St, Clarkston, WA 99403-2005 | |
| (508) 758-3341 | |
| Not Available |
| Full Name | Charles Randolph Petersen |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 900 7th St, Clarkston, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417578014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Randolph Petersen, 900 7th St, Clarkston, WA 99403-2005 Ph: (508) 758-3341 | Charles Randolph Petersen, 900 7th St, Clarkston, WA 99403-2005 Ph: (508) 758-3341 |
Ronny Alan Walden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 Shelley Ln, Clarkston, WA 99403 Phone: 206-514-4904 | |
Jozlyn Hays, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 | |
Carmen Margeson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 | |
Kristina Renee Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-838-4651 | |
Samantha Frederick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 7th Street, Clarkston, WA 99403 Phone: 509-758-3341 | |
Shilo Faye Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 | |
Regina Joyce Lookabill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 7th St, Clarkston, WA 99403 Phone: 509-758-3341 |