MRS. SHERRY ANN PETERSON LCDC III NPI 1790274975

NPI Information

NPI: 1790274975
Provider Name: MRS. SHERRY ANN PETERSON, LCDC III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
975 KINGSVIEW DR
LEBANON, OH
ZIP 45036
Phone: (513) 228-7800
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MRS. Sherry Ann Peterson, LCDC III is an addiction (substance use disorder) counselor in Lebanon, OH. MRS. Sherry Ann Peterson, LCDC III NPI is 1790274975. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

975 KINGSVIEW DR
LEBANON, OH
ZIP 45036-562
Phone: (513) 228-7800
Fax: (513) 228-7846

The enumeration date for this NPI number is 5/3/2018 and was last updated on 1/7/2022.

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	101YM0800X	Counselor	Mental Health	C.2203776-TRNE	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	161102	OHIO	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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