Individual
MRS. BAILEY CATHERINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
760 STILLWATER RD STE 101, MAHTOMEDI, MN 55115-2060
(763) 200-1957
Mailing address
760 STILLWATER RD STE 101, MAHTOMEDI, MN 55115-2060
(763) 200-1957
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3499
MN
Other
Enumeration date
09/13/2018
Last updated
02/01/2024
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