Individual
JENNIFER R PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
230 KNOX ST S, ALPHA, MN 56111-4006
(507) 407-9775
Mailing address
125 S LINDBERG AVE, DUNNELL, MN 56127-4006
(612) 968-4725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21522
NC
101YP2500X
Professional Counselor
4424
MN
Other
Enumeration date
10/04/2021
Last updated
04/16/2026
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