National Provider Identifier

Joan Peters, CASAC- ADVANCED

Joan Peters, CASAC- ADVANCED is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1386175131Lyons, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1386175131
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
March 23, 2017
Last Updated
September 02, 2021

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 946-5722

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1386175131
Entity Type
Individual
Last Name
Peters
First Name
Joan
Credential
CASAC- ADVANCED
Mailing Street Address
1519 Nye RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9133
Mailing Country
US
Mailing Phone
(315) 946-5722
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 946-5722
Enumeration Date
March 23, 2017
Last Updated
September 02, 2021
Sex
Female
Sole Proprietor
No
Certification Date
September 02, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)