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Organization

PETERSON COUNSELING AND CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHAEL PETERSON MS LPC LADC CCTP (OWNER)
(608) 332-3490
Entity
Organization

Contact information

Practice address
10650 COUNTY ROAD 81 STE 205, MAPLE GROVE, MN 55369-4040
(608) 332-3490
Mailing address
2442 LACY LN, VICTORIA, MN 55386-2302
(608) 332-3490

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304016
MN
101YP2500X
Professional Counselor
Primary
01688
MN

Other

Enumeration date
11/16/2015
Last updated
11/16/2015
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