Individual provider · Type 1 NPI

Stacy Lashunn Peterson

Addiction (Substance Use Disorder) Counselor · Bakersfield, CA

NPI number 1295167922 Active

Practice location

501 W Columbus St
Bakersfield, CA 93301

Call (661) 328-0245 Map

Other practice locations

  • 501 W Columbus St, Bakersfield, CA 93301 · (661) 328-0245

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XRII04000115 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI20841018 (CA)

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

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About NPI 1295167922

Stacy Lashunn Peterson's National Provider Identifier is 1295167922, issued on Aug 5, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bakersfield, CA. The record was last updated on May 22, 2019.