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

Madalen Petersen, SUDRA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982432803

Madalen Petersen, SUDRA is an Addiction (Substance Use Disorder) Counselor in Sutter Creek, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

10877 Conductor Blvd
Sutter Creek, CA 95685-9687
Phone: (209) 223-6412
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 R1569880724 (CA)

Record details

NPI number1982432803
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRA
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

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