Individual
PEGGY BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
5009 EXCELSIOR BLVD, SUITE 130, ST LOUIS PARK, MN 55416-3041
(612) 203-1508
Mailing address
5009 EXCELSIOR BLVD, SUITE 130, ST LOUIS PARK, MN 55416-3041
(612) 203-1508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00872
MN
Other
Enumeration date
09/17/2014
Last updated
02/03/2015
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