Individual
MS. DEBRA IRENE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 2ND AVE NE, SUITE 221, JAMESTOWN, ND 58401-3373
(701) 252-5398
Mailing address
1306 2ND AVE NE, JAMESTOWN, ND 58401-2403
(701) 251-1101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1099
ND
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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