REBECCA PETERSON CO 60202212 NPI 1003364829

NPI Information

NPI: 1003364829
Provider Name: REBECCA PETERSON, CO 60202212
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5548 MYRTLE AVE
FREELAND, WA
ZIP 98249
Phone: (360) 502-4090
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Rebecca Peterson, CO 60202212 is an addiction (substance use disorder) counselor in Freeland, WA. Rebecca Peterson, CO 60202212 NPI is 1003364829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5548 MYRTLE AVE
FREELAND, WA
ZIP 98249-776
Phone: (360) 502-4090
Fax: (425) 249-3528

The enumeration date for this NPI number is 9/21/2016 and was last updated on 7/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO 60202212	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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