IndividualActive
Adam Peterson, CADC III, CSWA
NPI 1295358018 · Addiction (Substance Use Disorder) Counselor · Medford, OR
Provider details
- NPI number
- 1295358018
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC III, CSWA
- Sex
- Male
- Sole proprietor
- No
- License
- A5586 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
200 Beatty St
Medford, OR 97501-5811
Phone: (541) 476-2373
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Sw G St
Grants Pass, OR 97526-2544
Registry dates
- Enumerated
- 2020-05-27
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.