Individual provider · Type 1 NPI

Adam Peterson, CADC III, CSWA

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1295358018 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA5586 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19-10-15 (OR)

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

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About NPI 1295358018

Adam Peterson, CADC III, CSWA's National Provider Identifier is 1295358018, issued on May 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on May 27, 2020.