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Individual

KATHY EILEEN PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC II-CA

Contact information

Practice address
2280 DIAMOND BLVD, CONCORD, CA 94520-5750
(925) 723-1221
(925) 608-5984
Mailing address
FORENSIC MENTAL HEALTH, 2280 DIAMOND BLVD, CONCORD, CA 94520-6206
(925) 723-1221

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172V00000X
CA
Enumeration date
05/28/2007
Last updated
04/24/2025
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