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Individual

ALYSSA RAELYNN PETERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4000 N BRENDAN LN, SIOUX FALLS, SD 57107-1286
(605) 332-2883
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-20530
SD
101YP2500X
Professional Counselor
Primary
LPCMH-30589
SD

Other

Enumeration date
05/25/2021
Last updated
11/10/2025
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