person
Lucy Rose Peterson, CADCII
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1053681452

Lucy Rose Peterson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Lucy Rose Peterson practices in Portland, OR and has the professional credentials of CADCII. The NPI Number for Lucy Rose Peterson is 1053681452 and holds a License No. 11807 (Oregon).

The current practice location address for Lucy Rose Peterson is 17645 Nw Saint Helens Rd, Portland, OR and can be reached out via phone at 503-621-1069 and via fax at 503-621-0200.

Location: 17645 Nw Saint Helens Rd, Portland, OR, 97205-1715
person
Provider Profile Details
NPI Number
1053681452
Provider Name
Lucy Rose Peterson
Credential
CADCII
Provider Entity Type
Individual
Gender
Female
Address
17645 Nw Saint Helens Rd, Portland, OR, 97205-1715
Phone Number
503-621-1069
Fax Number
503-621-0200
Provider Enumeration Date
01/03/2012
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
17645 Nw Saint Helens Rd
City
State
Zip
97231-1729
Phone Number
503-621-1069
Fax Number
503-621-0200
person
Provider Business Mailing Address Details
Address
17645 Nw Saint Helens Rd
City
State
Zip
97231-1729
Phone Number
503-621-1069
Fax Number
503-621-0200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11807 (Idaho)
Definition
Definition to come...
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