Individual provider · Type 1 NPI
Ashlee Petersen, CADC I
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1942768064
Active
Practice location
12301 Wilshire Blvd Ste 206
Los Angeles, CA 90025-1000
Mailing address
43518 Carpenter Dr
Lancaster, CA 93535-4882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI25040518 |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CI25040518 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1942768064
Ashlee Petersen, CADC I's National Provider Identifier is 1942768064, issued on Mar 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 7, 2019.