Individual provider · Type 1 NPI
Mata Marie Peterson, LSW, LADC
Addiction (Substance Use Disorder) Counselor · Breckenridge, MN
NPI number
1710320890
Active
Practice location
227 6th St N
Breckenridge, MN 56520-1503
Mailing address
PO Box 703
Fergus Falls, MN 56538-0703
Other practice locations
- 2400 St. Francis Drive, St. Francis Medical Center, Breckenridge, MN 56520-1802 · (218) 643-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 15452 (MN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301596 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Breckenridge
- Joseph Paul Murray, LADCAddiction (Substance Use Disorder) Counselor Breckenridge, MN NPI 1093858565
- Laurie Jo Ann Kessler, MS LACAddiction (Substance Use Disorder) Counselor Breckenridge, MN NPI 1154521516
- Randi Jo Resler, BA, BCC, LADCAddiction (Substance Use Disorder) Counselor Breckenridge, MN NPI 1194158899
- Rhonda Carroll, LADCAddiction (Substance Use Disorder) Counselor Breckenridge, MN NPI 1396109211
About NPI 1710320890
Mata Marie Peterson, LSW, LADC's National Provider Identifier is 1710320890, issued on Apr 9, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Breckenridge, MN. The record was last updated on May 21, 2020.