Provider Demographics
NPI:1184452609
Name:PELTIER, WILLIAM (CARC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:PELTIER
Suffix:
Gender:M
Credentials:CARC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 CARTER ST STE 40
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-7303
Mailing Address - Country:US
Mailing Address - Phone:978-227-5036
Mailing Address - Fax:978-253-4209
Practice Address - Street 1:106 CARTER ST STE 40
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-7303
Practice Address - Country:US
Practice Address - Phone:978-227-5036
Practice Address - Fax:978-253-4209
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171400000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171400000XOther Service ProvidersHealth & Wellness Coach