GAIL PETERSEN MA CRC NPI 1275640674

NPI Information

NPI: 1275640674
Provider Name: GAIL PETERSEN, MA, CRC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3601 S 6TH AVE
TUCSON, AZ
ZIP 85723
Phone: (520) 792-1450
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Gail Petersen, MA, CRC is an addiction (substance use disorder) counselor in Tucson, AZ. Gail Petersen, MA, CRC NPI is 1275640674. 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:

3601 S 6TH AVE
TUCSON, AZ
ZIP 85723-001
Phone: (520) 792-1450

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/8/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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: 11/14/2023

NPI Synchronization or Removal

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