Peterson, Dawn M

Peterson, Dawn M is an individual health care provider with primary practice located at 615 8Th St , Hoquiam WA 98550. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Peterson, Dawn M can be contacted via phone (360) 532-4357.

Contact Information

Primary practice address
615 8Th St Hoquiam WA 98550
Phone: (360) 532-4357
Fax: (360) 577-0269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Washington

Profile Details

NPI number 1699244111
LBN Legal business name Peterson, Dawn M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Nov 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699244111 NPPES
Washington MEDICAID 2113068

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