Individual provider · Type 1 NPI

Pamela Peterson

Addiction (Substance Use Disorder) Counselor · Duluth, MN

NPI number 1700330503 Active

Practice location

332 W Superior St Ste 300
Duluth, MN 55802

Mailing address

1900 Silver Lake Road NW, Suite 110
New Brighton, MN 55112

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X26251 (MN)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304004 (MN)

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

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About NPI 1700330503

Pamela Peterson's National Provider Identifier is 1700330503, issued on Aug 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Duluth, MN. The record was last updated on Mar 15, 2021.