Individual
RACHAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC LADC CCTP
Contact information
Practice address
570 BAVARIA LN, CHASKA, MN 55318-4597
(608) 332-3490
Mailing address
PO BOX 61, VICTORIA, MN 55386-0061
(608) 332-3490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304016
MN
101YM0800X
Mental Health Counselor
Primary
1394
MN
Other
Enumeration date
11/17/2015
Last updated
08/25/2022
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