Individual provider · Type 1 NPI

Nicole Petersen, MA, LPCC

Mental Health Counselor · Minneapolis, MN

NPI number 1063247237 Active

Practice location

3133 Hennepin Ave
Minneapolis, MN 55408-2620

Call (612) 367-6370 Map

Mailing address

2716 Fremont Ave S
Minneapolis, MN 55408-1122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4551 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1063247237

Nicole Petersen, MA, LPCC's National Provider Identifier is 1063247237, issued on Sep 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 4, 2026.