Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glenn A Peterson, CADC-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629314729

Glenn A Peterson, CADC-I is an Addiction (Substance Use Disorder) Counselor in Riverside, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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Practice location Address checks out

5870 Arlington Ave # 103
Riverside, CA 92504-2037
Phone: (951) 683-6596
Fax: (951) 683-4239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1629314729
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-I
Sole proprietorNo
NPI enumeratedDecember 17, 2012
Last updated in NPPESAugust 12, 2016

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