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MADALEN PETERSEN SUDRA
NPI 1982432803
Counselor - Addiction (Substance Use Disorder) in Sutter Creek, CA

Active since July 23, 2024
10877 CONDUCTOR BLVD, SUTTER CREEK, CA 95685(209) 223-6412 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madalen Petersen Sudra NPPES

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

MADALEN PETERSEN SUDRA (NPI 1982432803) is an individual addiction (substance use disorder) provider in Sutter Creek, California, licensed in California (R1569880724) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1982432803
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMADALEN PETERSENCredential: SUDRA
Location Address10877 CONDUCTOR BLVDSutter Creek, CA 95685-9687
Mailing Address10877 Conductor BlvdSutter Creek, CA 95685-9687 · (209) 223-6412
Phone(209) 223-6412
Sole ProprietorNo
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1982432803 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
License✔ Licensed in CA · R1569880724
10877 CONDUCTOR BLVD, Sutter Creek, CA 95685
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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.

STEPHANIE ALCANTAR CMA
Case Manager/Care Coordinator
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
SYLVIA DESIREE-SOSA NEWLUN MFT
Marriage & Family Therapist
10877 CONDUCTOR BLVD, SUITE 300
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
RENEE MICHELLE PAUL
Registered Nurse
10877 CONDUCTOR BLVD, STE 300
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
CHRIS FAMULARO
Peer Specialist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
BELLA EYNGORINA
Marriage & Family Therapist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
TERESA KARNOW
Registered Nurse
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
KELLY TRAVERSO
Peer Specialist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
LINDA CRABTREE
Case Manager/Care Coordinator
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412

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 Madalen Petersen's NPI number?

The NPI number for Madalen Petersen is 1982432803. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Madalen Petersen located?

Madalen Petersen practices at 10877 Conductor Blvd, Sutter Creek, CA 95685. The listed phone number is (209) 223-6412.

What is Madalen 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 Madalen Petersen was last updated on July 23, 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.