Individual provider · Type 1 NPI

Dawn Petersen, CSAC

Addiction (Substance Use Disorder) Counselor · Kenosha, WI

NPI number 1093252199 Active

Practice location

2108-63 Street
Kenosha, WI 53143-4454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16091-132 (WI)

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

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About NPI 1093252199

Dawn Petersen, CSAC's National Provider Identifier is 1093252199, issued on Jan 26, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kenosha, WI. The record was last updated on Jan 26, 2017.