Individual
CALEB PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
3940 LEXINGTON AVE. N., SHOREVIEW, MN 55126
(651) 379-3401
Mailing address
3940 LEXINGTON AVE. N., SHOREVIEW, MN 55126
(651) 379-3401
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4635
MN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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