Petersen, Dawn

Petersen, Dawn is an individual health care provider with primary practice located at 2108-63 Street , Kenosha WI 53143-4454. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Petersen, Dawn can be contacted via phone (262) 652-2406.

Contact Information

Primary practice address
2108-63 Street Kenosha WI 53143-4454
Phone: (262) 652-2406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16091-132 Wisconsin

Profile Details

NPI number 1093252199
LBN Legal business name Petersen, Dawn
Credentials CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2017
Last updated Jan 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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