Gary Peterson, CADC 2
NPI #1114384039 in White City, Oregon
Provider Information
- NPI Number
- 1114384039
- Entity Type
- Individual
- Name
- Gary Peterson, CADC 2
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CADC 2
- Enumeration Date
- Jan 22, 2016
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 8495 CRATER LAKE HWY
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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