Individual provider · Type 1 NPI

Jennifer Marie Peterson, MA, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1396347423 Active

Practice location

1246 University Ave W
St. Paul, MN 55104-4125

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305381 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1396347423

Jennifer Marie Peterson, MA, LADC's National Provider Identifier is 1396347423, issued on Nov 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Nov 13, 2020.