Individual provider · Type 1 NPI

Trease Marie Petersen

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1306182522 Active

Practice location

1735 Enterprise Dr, Suite 105A
Fairfield, CA 94533-6822

Call (707) 425-1799 Map

Fax (707) 425-1081

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 1306182522

Trease Marie Petersen's National Provider Identifier is 1306182522, issued on Dec 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Dec 14, 2012.