Individual provider · Type 1 NPI
Julie Ann Peterson, LADC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1659838142
Active
Practice location
640 Jackson St
St. Paul, MN 55101-2595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305271 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659838142
Julie Ann Peterson, LADC's National Provider Identifier is 1659838142, issued on Feb 21, 2019. 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 Sep 20, 2024.