Individual
DENISE A SEAGREN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
(814) 362-7358
Mailing address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6535
(814) 362-7358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2016
PA
Other
Enumeration date
09/14/2018
Last updated
10/02/2020
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