LOGAN PETERSON
NPI 1881431534
Counselor - Addiction (Substance Use Disorder) in Bloomington, CA

Active since July 10, 2024
10888 MAPLE AVE, BLOOMINGTON, CA 92316(909) 421-7120 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Logan Peterson NPPES

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

LOGAN PETERSON (NPI 1881431534) is an individual addiction (substance use disorder) provider in Bloomington, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1881431534
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLOGAN PETERSON
Location Address10888 MAPLE AVEBloomington, CA 92316-2621
Mailing Address18612 Santa Ana AveBloomington, CA 92316-2639 · (909) 421-7120
Sole ProprietorNo
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1881431534 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
10888 MAPLE AVE, Bloomington, CA 92316

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
10888 MAPLE AVE
BLOOMINGTON, CA 92316
Counselor (Addiction (Substance Use Disorder))
10888 MAPLE AVE
BLOOMINGTON, CA 92316
Counselor (Addiction (Substance Use Disorder))
10888 MAPLE AVE
BLOOMINGTON, CA 92316
Counselor (Addiction (Substance Use Disorder))
10888 MAPLE AVE
BLOOMINGTON, CA 92316
Counselor (Addiction (Substance Use Disorder))
10888 MAPLE AVE
BLOOMINGTON, CA 92316
Substance Abuse Rehabilitation Facility
10888 MAPLE AVE
BLOOMINGTON, CA 92316
Counselor (Addiction (Substance Use Disorder))
10888 MAPLE AVE
BLOOMINGTON, CA 92316

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 Logan Peterson's NPI number?

The NPI number for Logan Peterson is 1881431534. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Logan Peterson located?

Logan Peterson practices at 10888 Maple Ave, Bloomington, CA 92316. The listed phone number is (909) 421-7120.

What is Logan Peterson'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 Logan Peterson was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.