Individual provider · Type 1 NPI
Jerry B. Peters, L.C.S.W.
Addiction (Substance Use Disorder) Counselor · Kansas City, MO
NPI number
1811024730
Active
Practice location
1734 E 63rd St, Suite 301
Kansas City, MO 64110-3543
Fax (816) 333-1943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 002286 (MO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811024730
Jerry B. Peters, L.C.S.W.'s National Provider Identifier is 1811024730, issued on Feb 27, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.