Individual
PAMELA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 S HEMLOCK ST STE 1, IRON MOUNTAIN, MI 49801-3800
(906) 774-2561
Mailing address
100 MALTON RD, NEGAUNEE, MI 49866-2001
(906) 451-4889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
06/11/2026
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