Darla Jo Peterson, CP60471341 is a 
Counselor - Addiction (substance Use Disorder) based in Wapato, Washington. Darla Jo Peterson is licensed to practice in Washington (license number CP60471341) and her current practice location is 
312 W 2nd St, Wapato, Washington. She can be reached at her office (for appointments etc.) via phone at 
(509) 877-7271.
NPI number for Darla Jo Peterson is 1821540667 and her current mailing address is 120 S 3rd St, Yakima, Washington. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821540667.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Darla Jo Peterson | 
|---|
| Gender | Female | 
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| Speciality | Counselor - Addiction (substance Use Disorder) | 
|---|
| Location | 312 W 2nd St, Wapato, Washington | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1821540667
- Provider Enumeration Date: 10/27/2016
- Last Update Date: 10/24/2018
 
		 
		 
Medical Identifiers
		Medical identifiers for Darla Jo Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1821540667 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60471341 (Washington) | Primary | 
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darla Jo Peterson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Darla Jo Peterson, CP60471341 120 S 3rd St,
 Yakima, WA 98901-2875
 Ph: (509) 248-1800
 | Darla Jo Peterson, CP60471341 312 W 2nd St,
 Wapato, WA 98951-1110
 Ph: (509) 877-7271
 | 
		
		 
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