Peter Peterson, LCDC

NPI 1043515919 · on the registry since 2011 · sole proprietor

Practice

Address: 1801 S Alameda St
Suite 150
Corpus Christi, TX 78404
Phone: (361) 854-9199
Fax: (361) 854-9147
Organisation at this address: Council On Alcohol And Drug Abuse - Coastal Bend
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas