Debra I.Peterson Pc in Jamestown - Addiction (substance Use Disorder)
Debra I.Peterson Pc - NPI 1699983932
Debra I.Peterson Pc is a Addiction (substance Use Disorder) in Jamestown, North Dakota. Debra I.Peterson Pc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Debra I.Peterson Pc is 1699983932. The last update date is 2008-06-03.
Debra I.Peterson Pc's current location address is Po Box 874, Jamestown, North Dakota. You can contact this provider via phone number 7012525398 and fax number 7019525398. The mailing address for Debra I.Peterson Pc is Po Box 874, Jamestown, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Debra I.Peterson Pc |
|---|---|
| Address | Po Box 874, Jamestown, North Dakota |
| Phone Number | 7012525398 |
| Fax Number | 7019525398 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Peterson Irene Debra |
| Credentials | LAC |
| Telephone Number | 7012525398 |
NPI Number Detail
| NPI Number | 1699983932 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | Po Box 874 |
|---|---|
| City | Jamestown |
| State | North Dakota (ND) |
| Post Code | 584020874 |
| Phone Number | 7012525398 |
| Fax Number | 7019525398 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1075 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12115 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Debra I.Peterson Pc by the Centers for Medicare & Medicaid Services?
The Debra I.Peterson Pc has been assigned the NPI (National Provider Identifier) 1699983932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Debra I.Peterson Pc?
The Debra I.Peterson Pc is situated at Po Box 874, in the city of Jamestown, state of ND, with the zip code 584020874.
What is the Debra I.Peterson Pc's specialty and taxonomy code?
The Debra I.Peterson Pc's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Debra I.Peterson Pc receive its 1699983932 assignment from the Centers for Medicare & Medicaid Services?
The Debra I.Peterson Pc was assigned its 1699983932 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the Debra I.Peterson Pc's details last updated?
The information pertaining to the Debra I.Peterson Pc, including its address, specialty, and other details, was most recently updated on 2008-06-03.
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