Markell Petersen, SUDP
Markell Petersen, SUDP is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2019.
- Licensed in
- WA
- In the registry since
- 2019
Practice location Address checks out
7700 NE 26th AveVancouver, WA 98665-0672
Phone: (360) 397-8228
Fax: (360) 397-8251
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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 · Licence 61146194 (WA) |
|---|
Record details
| NPI number | 1104383645 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDP |
| Sole proprietor | No |
| NPI enumerated | February 20, 2019 |
| Last updated in NPPES | July 10, 2024 |
| Certification date | July 10, 2024 |
| Mailing address | Po Box 2429, Longview, WA 98632-8486 |
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