Individual provider · Type 1 NPI

Debra Irene Peterson

Addiction (Substance Use Disorder) Counselor · Jamestown, ND

NPI number 1770603813 Active

Practice location

300 2nd Ave NE, Suite 221
Jamestown, ND 58401-3373

Mailing address

1306 2nd Ave NE
Jamestown, ND 58401-2403

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1099 (ND)

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

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About NPI 1770603813

Debra Irene Peterson's National Provider Identifier is 1770603813, issued on Mar 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamestown, ND. The record was last updated on Jul 8, 2007.