Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 051127 -II | CA |
NPI | 1013045111 |
---|---|
Provider Name | Mr. Daniel H. Peters |
First Address | Grass Valley, CA 95945-5768 |
Second Address | Grass Valley, CA 95945-5768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 01/03/2017 |