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PETER JASTERMSKY LCSW

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1437738994

Individual Registrant:
 PETER  JASTERMSKY LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
49010 MOCKINGBIRD LN  MORONGO VALLEY, CA 92256-9717 US
Tel: 949-315-0322  Fax: --

Contact information for business:
PO BOX 643  MORONGO VALLEY, CA 92256-0643 US
Tel: 949-315-0322  Fax: --

Registration Information:
NPI: 1437738994
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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