Individual
BRYANNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CDP
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
10604 NE HIGHWAY 99, VANCOUVER, WA 98686-5613
(360) 644-1631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60465887
WA
Other
Enumeration date
10/15/2015
Last updated
04/09/2024
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