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
- City
- Breckenridge
- State
- Minnesota
- 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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Organizations
| Provider Name | |
|---|---|
| Life Transformations |
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