Organization · Type 2 NPI

Peterson Counseling and Consulting LLC

Professional Counselor · Maple Grove, MN

NPI number 1073987947 Active

Practice location

10650 County Road 81 Ste 205
Maple Grove, MN 55369-4040

Mailing address

2442 Lacy Ln
Victoria, MN 55386-2302

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304016 (MN)
Professional Counselor Primary 101YP2500X01688 (MN)

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About NPI 1073987947

Peterson Counseling and Consulting LLC's National Provider Identifier is 1073987947, issued on Nov 16, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Maple Grove, MN. The record was last updated on Nov 16, 2015.