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MR. DONALD E. PETERSEN ADDICTION THERAPIST
NPI 1073778049
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since July 18, 2008
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661(360) 696-4061(360) 750-5385 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Donald E. Petersen Addiction Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD E. PETERSEN ADDICTION THERAPIST (NPI 1073778049) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CP00002039) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1073778049
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DONALD E. PETERSENCredential: ADDICTION THERAPIST
Location Address1601 E 4TH PLAIN BLVDVancouver, WA 98661-3753
Mailing Address1601 E 4th Plain BlvdVancouver, WA 98661-3753 · (360) 696-4061 · Fax (360) 750-5385
Phone(360) 696-4061
Fax(360) 750-5385
Sole ProprietorNo
Enumeration DateJuly 18, 2008
✔ NPI 1073778049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in WA · CP00002039✔ Licensed in OR · 97-04-51
1601 E 4TH PLAIN BLVD, Vancouver, WA 98661
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUZANNE BEVERLEE MILLAR PHARM.D.
Pharmacist (Pharmacotherapy)
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (503) 220-8262
VIOLA LUCILLE SANDERS CDP
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BLDG 17,
VANCOUVER, WA 98661
Clark County (360) 397-8246
DEBORAH E HAMILTON CP60145193
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
MS. HELEN MARYMAE JACOBS CDP
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 397-8246
MR. WILLIAM D BACKUS QMHA, CAAR
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MARIAH A KOCKER RN
Registered Nurse (Case Management)
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MRS. TERESA ELAINE TIDWELL MA, CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484
MR. SCOTT ALAN KLEINSCHMIDT
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222
VANCOUVER, WA 98661
Clark County (360) 397-8484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Petersen's NPI number?

The NPI number for Donald Petersen is 1073778049. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Donald Petersen located?

Donald Petersen practices at 1601 E 4th Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 696-4061.

What is Donald Petersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Donald Petersen was last updated on July 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.