| Peterson Counseling And Consulting Llc | |
|
10650 County Road 81 Ste 205 Maple Grove MN 55369-4040 | |
| (608) 332-3490 | |
| Not Available |
| Full Name | Peterson Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10650 County Road 81 Ste 205, Maple Grove, Minnesota |
| Authorized Official Name and Position | Rachael Peterson (OWNER) |
| Authorized Official Contact | 6083323490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Counseling And Consulting Llc 2442 Lacy Ln Victoria MN 55386-2302 Ph: (608) 332-3490 | Peterson Counseling And Consulting Llc 10650 County Road 81 Ste 205 Maple Grove MN 55369-4040 Ph: (608) 332-3490 |
| NPI Number | 1073987947 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 11/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073987947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304016 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | 01688 (Minnesota) | Primary |
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