Individual
NICOLE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 367-6370
Mailing address
2716 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(612) 559-9964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4551
MN
Other
Enumeration date
09/05/2024
Last updated
04/04/2026
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