Most Relevant Information
Provider Data
| NPI Number: | 1003355074 |
| Provider Name: | GREGORY PETERS CAC-AD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | AC0090 |
Most Important Dates
| Enumeration Date: | 02/23/2017 |
| Last Updated: | 02/23/2017 |
Provider Practice Location
10102 COUNTRY CLUB RD SE
CUMBERLAND
MD
215028339
Practice Location Phone/Fax
| Phone: | 3017772290 |
| Fax: | 3017772160 |
Provider Mailing Location
10102 COUNTRY CLUB RD SE
CUMBERLAND
MD
215028339
Provider Mailing Phone/Fax
| Phone: | 3017772290 |
| Fax: | 3017772160 |