DANIELL SUE PETERSON NPI 1134691165

NPI Information

NPI: 1134691165
Provider Name: DANIELL SUE PETERSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1711 OSCEOLA AVE STE 115
CHARITON, IA
ZIP 50049
Phone: (641) 774-8484
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Daniell Sue Peterson is an addiction (substance use disorder) counselor in Chariton, IA. Daniell Sue Peterson NPI is 1134691165. 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:

1711 OSCEOLA AVE STE 115
CHARITON, IA
ZIP 50049-516
Phone: (641) 774-8484

The NPI 1134691165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/2/2019 and was last updated on 1/8/2019.

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)	19000	IOWA	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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