SANDRA ANNE PETERSEN-TETZ CADC I NPI 1013108349

NPI Information

NPI: 1013108349
Provider Name: SANDRA ANNE PETERSEN-TETZ, CADC I
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
185 N 4TH ST
SAINT HELENS, OR
ZIP 97051
Phone: (503) 366-4540
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Sandra Anne Petersen-tetz, CADC I is a counselor in Saint Helens, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sandra Anne Petersen-tetz, CADC I NPI is 1013108349. 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:

185 N 4TH ST
SAINT HELENS, OR
ZIP 97051-535
Phone: (503) 366-4540
Fax: (503) 366-4526

The enumeration date for this NPI number is 8/1/2007 and was last updated on 8/1/2007.

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	101Y00000X	Counselor		98-04-29	OREGON	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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