Search › California › 101YM0800X
Jacob Peterson
NPI 1912391475 · on the registry since 2015
Practice
- Address
- 7204 Skyway
Paradise, CA 95969 - Phone
- (530) 872-4128
- Fax
- (530) 894-5791
- Organisation at this address
- Youth For Change
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2015-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California