Individual
LINDSEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1654 BURKE AVE E, MAPLEWOOD, MN 55109
(612) 567-6306
Mailing address
4707 HIGHWAY 61 N # 1037, WHITE BEAR LAKE, MN 55110-3227
(612) 567-6306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
24594
MN
Other
Enumeration date
06/17/2015
Last updated
03/08/2022
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