Individual provider · Type 1 NPI

Kotrina Peterson

Addiction (Substance Use Disorder) Counselor · Grand Blanc, MI

NPI number 1922478700 Active

Practice location

6159 Somerset Ct
Grand Blanc, MI 48439-7447

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1922478700

Kotrina Peterson's National Provider Identifier is 1922478700, issued on Oct 6, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Blanc, MI. The record was last updated on Oct 6, 2015.