Individual provider · Type 1 NPI
Jennifer R. Petersen, LPCC
Professional Counselor · Alpha, MN
NPI number
1144992520
Active
Practice location
230 Knox St S
Alpha, MN 56111-4006
Mailing address
125 S Lindberg Ave
Dunnell, MN 56127-4006
Other practice locations
- 3400 Cedar Park Rd, Fairmont, MN 56031 · (507) 407-9775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 4424 (MN) |
| Professional Counselor Primary | 101YP2500X | 21522 (NC) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1144992520
Jennifer R. Petersen, LPCC's National Provider Identifier is 1144992520, issued on Oct 4, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alpha, MN. The record was last updated on Apr 16, 2026.