Individual provider · Type 1 NPI

Madalen Petersen, SUDRA

Addiction (Substance Use Disorder) Counselor · Sutter Creek, CA

NPI number 1982432803 Active

Practice location

10877 Conductor Blvd
Sutter Creek, CA 95685-9687

Call (209) 223-6412 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1569880724 (CA)

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

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About NPI 1982432803

Madalen Petersen, SUDRA's National Provider Identifier is 1982432803, issued on Jul 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sutter Creek, CA. The record was last updated on Jul 23, 2024.