| 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 |