Individual
DAWN M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 8TH ST, HOQUIAM, WA 98550
(360) 532-4357
(360) 577-0269
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 353-9828
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
175T00000X
Peer Specialist
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113068
—
WA
Enumeration date
11/14/2018
Last updated
11/01/2019
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