IndividualActive
Sheila Petersen, CADC-R
NPI 1689361503 · Addiction (Substance Use Disorder) Counselor · Otis, OR
Provider details
- NPI number
- 1689361503
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC-R
- Sex
- Female
- Sole proprietor
- No
- License
- T-23-2412 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3955 Salmon River Hwy
Otis, OR 97368-9778
Phone: (541) 614-4437
Approximate (ZIP-level) locationGet directions
Mailing address
3955 Salmon River Hwy
Otis, OR 97368-9778
Registry dates
- Enumerated
- 2023-04-20
- Last updated
- 2023-04-20
- Certified
- 2023-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.