Individual provider · Type 1 NPI

Latasha Peterson, M.A., LPCC

Professional Counselor · Lakeville, MN

NPI number 1598169484 Active

Practice location

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821

Fax (952) 214-8960

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC00829 (MN)

Professional Counselor: Definition to come...

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About NPI 1598169484

Latasha Peterson, M.A., LPCC's National Provider Identifier is 1598169484, issued on Oct 21, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakeville, MN. The record was last updated on Jun 10, 2024.