DEBRA I.PETERSON PC NPI 1699983932

NPI Information

NPI: 1699983932
Provider Name: DEBRA I.PETERSON PC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
300 2ND AVE NE
SUITE 221
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-5398
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DEBRA I.PETERSON PC is an addiction (substance use disorder) counselor in Jamestown, ND. DEBRA I.PETERSON PC NPI is 1699983932. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 2ND AVE NE
SUITE 221
JAMESTOWN, ND
ZIP 58401-373
Phone: (701) 252-5398
Fax: (701) 252-5398

The provider's authorized official is Debra Irene Peterson .
The authorized official title is Director and has the following contact phone number (701) 252-5398.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 6/3/2008.

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)	1075	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N711176	MEDICARE PIN	NORTH DAKOTA
2	12115	MEDICAID	NORTH DAKOTA

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: 11/14/2023

NPI Synchronization or Removal

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