John Peterson, LISW, CDCA

NPI #1023464682 in Canton, Ohio

Provider Information

NPI Number: 1023464682
Entity Type: Individual
Name: John Peterson, LISW, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW, CDCA
Enumeration Date: May 12, 2016
Last Updated: Nov 30, 2018

Practice Location

Address: 733 MARKET AVE S
City: Canton
State: Ohio
ZIP Code: 44702-2165
Phone: (330) 489-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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