Individual provider · Type 1 NPI

Gary Peterson, CADC 2

Addiction (Substance Use Disorder) Counselor · White City, OR

NPI number 1114384039 Active

Practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1114384039

Gary Peterson, CADC 2's National Provider Identifier is 1114384039, issued on Jan 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in White City, OR. The record was last updated on Jan 22, 2016.