Individual provider · Type 1 NPI

Carol Camille Peterson

Addiction (Substance Use Disorder) Counselor · Virginia, MN

NPI number 1255858510 Active

Practice location

505 S 12th Ave W
Virginia, MN 55792-3099

Fax (218) 749-6033

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X300222 (MN)

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

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About NPI 1255858510

Carol Camille Peterson's National Provider Identifier is 1255858510, issued on Aug 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Virginia, MN. The record was last updated on Jul 21, 2022.