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Individual

DANIELLE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
651 N STATE ST, CARO, MI 48723-1584
(989) 672-6160
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023569
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
06/28/2023
Last updated
06/04/2026
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