Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MATA MARIE PETERSON, LSW, LADC
ActiveMS. MATA MARIE PETERSON, LSW, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BRECKENRIDGE, Minnesota. NPI 1710320890 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BRECKENRIDGE, MN
Registration Details
- NPI Number
- 1710320890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2013 (13.204733960376 yrs)
- Last Updated
- May 21, 2020
- Licenses
-
15452 (MN)301596 (MN)
Practice Information
- Address
-
227 6TH ST NBRECKENRIDGE, MN, 565201503Browse MN providers · Browse ZIP 56520
- Phone
- 7016408915
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in BRECKENRIDGE, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH PAUL MURRAY | LADC | 1093858565 |
| LAURIE JO ANN KESSLER | MS LAC | 1154521516 |
| MRS. RANDI JO RESLER | BA, BCC, LADC | 1194158899 |
| RHONDA CARROLL | LADC | 1396109211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.