Individual provider · Type 1 NPI

Katherine Ann Peterson, MA, LPCC, LADC

Professional Counselor · St. Louis Park, MN

NPI number 1336997063 Active

Practice location

1155 Ford Rd Ste B
St. Louis Park, MN 55426-1115

Call (952) 378-1800 Map

Fax (952) 378-1714

Mailing address

4240 Park Glen Rd
St. Louis Park, MN 55416-5427

Other practice locations

  • 4027 County Road 25, Minneapolis, MN 55416-2629 · (612) 925-6033

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4403 (MN)
Addiction (Substance Use Disorder) Counselor 101YA0400X305945 (MN)
Mental Health Counselor 101YM0800X4403 (MN)

Professional Counselor: Definition to come...

11 other providers at this address

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About NPI 1336997063

Katherine Ann Peterson, MA, LPCC, LADC's National Provider Identifier is 1336997063, issued on May 8, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 4, 2026.