MEDICARE: DEBORAH PETERMAN COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	1998-132	WI
2	103TC0700X	Clinical Psychologist	1466-057	WI
3	1041C0700X	Clinical Social Worker	189-123	WI

General Provider Information

NPI Number	:	1255567608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH PETERMAN COUNSELING

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	SHAWANO
State	:	WI
Zip	:	54166-0128
Country	:	US
Telephone Number	:	715-524-8896
Fax Number	:	715-524-8964

Provider Business Practice Location Address
First Line	:	1488 E GREEN BAY ST # 8
Second Line	:
City	:	SHAWANO
State	:	WI
Zip	:	54166-2258
Country	:	US
Telephone Number	:	715-524-8896
Fax Number	:	715-524-8964

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MS. DEBORAH PETERMAN
Credential	:	LCSW
Telephone Number	:	715-524-8896

Provider Enumeration Date	:	05/29/2009
Last Update Date	:	05/29/2009

Similar Medicare Providers

1174781298 — KING PSYCHOLOGICAL SERVICES
Practice Location Address:

1488 E GREEN BAY ST
SHAWANO, WI
54166-2258

Practice Phone: 715-524-5355
Practice Fax:

1144684002 — WOLF RIVER DENTAL LLC
Practice Location Address:

1040 ENGEL DR
SHAWANO, WI
54166

Practice Phone: 715-526-3314
Practice Fax:

1568467850 — VICKIEMARIE CLOUTIER MD
Practice Location Address:

1300 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-201-0870
Practice Fax:

1386643443 — MY OXYGEN CO. INC.
Practice Location Address:

1201 E RICHMOND ST
SHAWANO, WI
54166-2645

Practice Phone: 866-696-9943
Practice Fax: 989-839-2970

1720088495 — COUNTY OF SHAWANO
Practice Location Address:

N4231 STATE HIGHWAY 22
SHAWANO, WI
54166-6130

Practice Phone: 715-526-3158
Practice Fax: 715-526-6823

1790785475 — BIRCH HILL CARE CENTER LLC
Practice Location Address:

1475 BIRCH HILL LN
SHAWANO, WI
54166-3707

Practice Phone: 715-526-3161
Practice Fax: 715-524-5896

Directions to “DEBORAH PETERMAN COUNSELING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.