Individual
SANDRA ANNE PETERSEN-TETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
185 N 4TH ST, SAINT HELENS, OR 97051-1535
(503) 366-4540
(503) 366-4526
Mailing address
185 N 4TH ST, SAINT HELENS, OR 97051-1535
(503) 366-4540
(503) 366-4526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98-04-29
OR
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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