Individual
DAWN L. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
382 MAIN ST, LIMESTONE, ME 04750-6607
(207) 325-4727
(207) 325-4308
Mailing address
382 MAIN ST, LIMESTONE, ME 04750-6607
(207) 325-4727
(207) 325-4308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103850000
—
ME
Enumeration date
11/28/2012
Last updated
11/28/2012
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