GARY PETERSON

WHITE CITY, OR
NPI1114384039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-01-22
Last Update Date2016-01-22
Business Address
-- GARY PETERSON CADC 2
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Mailing Address
-- GARY PETERSON CADC 2
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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