Organization
DEBORAH PETERMAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH PETERMAN LCSW (OWNER/THERAPIST)
(715) 524-8896
Entity
Organization
Contact information
Practice address
1488 E GREEN BAY ST # 8, SHAWANO, WI 54166-2258
(715) 524-8896
(715) 524-8964
Mailing address
PO BOX 128, SHAWANO, WI 54166-0128
(715) 524-8896
(715) 524-8964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1998-132
WI
103TC0700X
Clinical Psychologist
1466-057
WI
1041C0700X
Clinical Social Worker
Primary
189-123
WI
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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