Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Peterson, LIAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720894363

Denise Peterson, LIAC is an Addiction (Substance Use Disorder) Counselor in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

1111 S Stapley Dr
Mesa, AZ 85204-5059
Phone: (602) 685-6000
Fax: (480) 834-5703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LIAC-155342 (AZ)

Record details

NPI number1720894363
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIAC
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 3, 2024

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