Individual provider · Type 1 NPI
Michael Robert Peterson, LMFT
Mental Health Counselor · Stillwater, MN
NPI number
1033544119
Active
Practice location
522 4th St S
Stillwater, MN 55082-4966
Mailing address
6201 Saint Croix Trl N Apt 119
Oak Park Heights, MN 55082-6966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1565 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1033544119
Michael Robert Peterson, LMFT's National Provider Identifier is 1033544119, issued on Sep 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stillwater, MN. The record was last updated on Jan 7, 2020.