Individual provider · Type 1 NPI

Adam Gregory Peterson, LADC

Addiction (Substance Use Disorder) Counselor · Rochester, MN

NPI number 1891049177 Active

Practice location

343 Woodlake Dr SE
Rochester, MN 55904-6242

Mailing address

4573 Ruby Ln NW
Rochester, MN 55901-6562

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303436 (MN)

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

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About NPI 1891049177

Adam Gregory Peterson, LADC's National Provider Identifier is 1891049177, issued on Nov 7, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Nov 7, 2012.