Individual provider · Type 1 NPI

Joseph Petersen, BS, LADC

Addiction (Substance Use Disorder) Counselor · Albert Lea, MN

NPI number 1699143149 Active

Practice location

203 W Clark St
Albert Lea, MN 56007-2549

Call (507) 377-5484 Map

Fax (507) 377-5505

Mailing address

723 N Elm Ave
Owatonna, MN 55060-1736

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302594 (MN)

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

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About NPI 1699143149

Joseph Petersen, BS, LADC's National Provider Identifier is 1699143149, issued on Sep 14, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albert Lea, MN. The record was last updated on Dec 26, 2017.