Individual provider · Type 1 NPI
Keaton Peterson
Addiction (Substance Use Disorder) Counselor · Las Vegas, NV
NPI number
1780590422
Active
Practice location
2121 W Charleston Blvd
Las Vegas, NV 89102-2205
Mailing address
321 E Jaybird St
Pahrump, NV 89048-6707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1780590422
Keaton Peterson's National Provider Identifier is 1780590422, issued on Aug 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 21, 2026.