Individual
JENNIFER REBECCA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCR
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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