Miss. Theadora Ruth Peterson, LADC-1
Miss. Theadora Ruth Peterson, LADC-1 is a Mental Health Counselor in Newburyport, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
8 Harris StNewburyport, MA 01950-2635
Phone: (617) 447-4043
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 22506 (MA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1427325265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LADC-1 |
| Sole proprietor | Yes |
| NPI enumerated | November 22, 2011 |
| Last updated in NPPES | May 8, 2023 |
| Certification date | May 8, 2023 |
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