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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X002286 (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.