MARKELL PETERSEN, SUDP
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1104383645
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 61146194 (WA) |
Frequently Asked Questions
NPI 1104383645 is the National Provider Identifier for MARKELL PETERSEN, SUDP, a Counselor - Addiction (Substance Use Disorder) provider located in Vancouver, WA. This NPI was enumerated on February 20, 2019.
MARKELL PETERSEN, SUDP practices at 7700 NE 26TH AVE, Vancouver, WA 98665.
Quick Facts
- NPI
- 1104383645
- Type
- Individual
- Enumerated
- Feb 20, 2019
- Last Updated
- Jul 10, 2024
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