Individual provider · Type 1 NPI

Savanna R. Petersen

Addiction (Substance Use Disorder) Counselor · Kelso, WA

NPI number 1558102483 Active

Practice location

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

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 1558102483

Savanna R. Petersen's National Provider Identifier is 1558102483, issued on Jun 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kelso, WA. The record was last updated on Jun 4, 2024.