Individual provider · Type 1 NPI

Glenn A. Peterson, CADC-I

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1629314729 Active

Practice location

5870 Arlington Ave, # 103
Riverside, CA 92504-2037

Call (951) 683-6596 Map

Fax (951) 683-4239

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 1629314729

Glenn A. Peterson, CADC-I's National Provider Identifier is 1629314729, issued on Dec 17, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Aug 12, 2016.