Individual
JAMES PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 S 3RD ST, SHELTON, WA 98584
(360) 426-0890
(360) 426-4688
Mailing address
235 S 3RD ST, SHELTON, WA 98584-2255
(360) 426-0890
(360) 426-4688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60819639
WA
Other
Enumeration date
10/08/2015
Last updated
08/26/2019
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