Individual
ASHLEE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
12301 WILSHIRE BLVD STE 206, LOS ANGELES, CA 90025-1000
(310) 487-2029
Mailing address
43518 CARPENTER DR, LANCASTER, CA 93535-4882
(310) 487-2029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI25040518
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI25040518
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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