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

Logan Peterson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1881431534

Logan Peterson is an Addiction (Substance Use Disorder) Counselor in Bloomington, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10888 Maple Ave
Bloomington, CA 92316-2621
Phone: (909) 421-7120
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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

Record details

NPI number1881431534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address18612 Santa Ana Ave, Bloomington, CA 92316-2639

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