Individual
CHRISTOPHER DAVID PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC 1
Contact information
Practice address
12 METHUEN ST, LAWRENCE, MA 01840-1700
(978) 683-3128
Mailing address
71 HAVERHILL ST, DRACUT, MA 01826-5635
(781) 249-4021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12943
MA
104100000X
Social Worker
313508
MA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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