Individual provider · Type 1 NPI
Roderick Dejuan Peterson Sr., MA, LLPC, CAAC, CCSM
Professional Counselor · Romulus, MI
NPI number
1679742928
Active
Practice location
7845 Middlebelt Rd Ste 201
Romulus, MI 48174-2174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | S-10019 (MI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-00234 (MI) |
| Professional Counselor Primary | 101YP2500X | 1972368 (MI) |
Professional Counselor: Definition to come...
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About NPI 1679742928
Roderick Dejuan Peterson Sr., MA, LLPC, CAAC, CCSM's National Provider Identifier is 1679742928, issued on Feb 20, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Romulus, MI. The record was last updated on Feb 20, 2008.