Individual provider · Type 1 NPI

Donald E. Petersen, ADDICTION THERAPIST

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1073778049 Active

Practice location

1601 E 4th Plain Blvd
Vancouver, WA 98661-3753

Call (360) 696-4061 Map

Fax (360) 750-5385

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00002039 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400X97-04-51 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073778049

Donald E. Petersen, ADDICTION THERAPIST's National Provider Identifier is 1073778049, issued on Jul 18, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Jul 18, 2008.