Madalen Petersen, SUDRA

NPI #1982432803 in Sutter Creek, California

Provider Information

NPI Number
1982432803
Entity Type
Individual
Name
Madalen Petersen, SUDRA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SUDRA
Enumeration Date
Jul 23, 2024
Last Updated
Jul 23, 2024

Practice Location

Address
10877 CONDUCTOR BLVD
ZIP Code
95685-9687
Phone
(209) 223-6412

Specialties & Taxonomy Codes

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

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