Individual provider · Type 1 NPI

Richard Eldon Petzoldt, BS

Mental Health Counselor · St. Cloud, MN

NPI number 1972749356 Active

Practice location

1321 13th St N
St. Cloud, MN 56303-2613

Fax (320) 203-1855

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972749356

Richard Eldon Petzoldt, BS's National Provider Identifier is 1972749356, issued on Jan 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Jan 6, 2009.