MS. Mata Marie Peterson, LSW, LADC

NPI #1710320890 in Breckenridge, Minnesota

Provider Information

NPI Number
1710320890
Entity Type
Individual
Name
MS. Mata Marie Peterson, LSW, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LSW, LADC
Enumeration Date
Apr 9, 2013
Last Updated
May 21, 2020

Practice Location

Address
227 6TH ST N
ZIP Code
56520-1503
Phone
(701) 640-8915

Specialties & Taxonomy Codes

Specialty
Social Worker
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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