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Individual
FRITZ CHARLES PETERSON
Active
Individual
FRITZ CHARLES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP(T)
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60521386
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60521386
CHEMICAL DEPENDENCY PROFESSIONAL (TRAINEE)
WA
Enumeration date
03/27/2015
Last updated
03/27/2015
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