Individual provider · Type 1 NPI

Jessica Peterson, CDPT

Addiction (Substance Use Disorder) Counselor · Port Angeles, WA

NPI number 1295187532 Active

Practice location

933 E 1st St
Port Angeles, WA 98362-4012

Fax (360) 452-4599

Mailing address

2851 Lower Elwha Rd
Port Angeles, WA 98363-8409

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60586697 (WA)

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

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About NPI 1295187532

Jessica Peterson, CDPT's National Provider Identifier is 1295187532, issued on Jul 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 11, 2016.