Individual
DEBRA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T, CARC
Contact information
Practice address
550 WADING RIVER RD, MANORVILLE, NY 11949-3447
(631) 926-2362
Mailing address
PO BOX 234, MANORVILLE, NY 11949-0234
(631) 926-2362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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