Organization · Type 2 NPI

Jon Peterson Psychologist PHD PC

Mental Health Clinic/Center (Including Community Mental Health Center) · Laguna Hills, CA

NPI number 1396983128 Active

Practice location

25401 Cabot Rd, Suite 213
Laguna Hills, CA 92653-5524

Fax (949) 276-2199

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XPSY6987 (CA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1396983128

Jon Peterson Psychologist PHD PC's National Provider Identifier is 1396983128, issued on Feb 2, 2009. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Laguna Hills, CA. The record was last updated on Feb 2, 2009.