NPI | 1124211578 |
---|---|
Professional Name | COLIN JAMES PETERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.012356) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 18305) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2014-07-31 |