Individual
PETER WILLIAM WERNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
1155 CENTRE POINTE DR STE 8, MENDOTA HEIGHTS, MN 55120-1278
(651) 461-8033
(651) 461-8034
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303573
MN
101YM0800X
Mental Health Counselor
Primary
CC03230
MN
Other
Enumeration date
04/10/2015
Last updated
04/11/2022
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