Individual
REBECCA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 60202212
Contact information
Practice address
5548 MYRTLE AVE, FREELAND, WA 98249-8776
(360) 502-4090
(425) 249-3528
Mailing address
1178 SW LESCHI DR, OAK HARBOR, WA 98277-5809
(360) 672-0812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60202212
WA
Other
Enumeration date
09/21/2016
Last updated
07/31/2019
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