Individual provider · Type 1 NPI

Sheila Ruth Petersen, CADC-R

Addiction (Substance Use Disorder) Counselor · Otis, OR

NPI number 1689361503 Active

Practice location

3955 Salmon River Hwy
Otis, OR 97368-9778

Call (541) 614-4437 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2412 (OR)

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

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About NPI 1689361503

Sheila Ruth Petersen, CADC-R's National Provider Identifier is 1689361503, issued on Apr 20, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Otis, OR. The record was last updated on Apr 20, 2023.