Individual
JEFF PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C., L.C.P.C.
Contact information
Practice address
211 SIOUX POINT RD STE 300, DAKOTA DUNES, SD 57049-5492
(605) 215-6695
Mailing address
211 SIOUX POINT RD STE 300, DAKOTA DUNES, SD 57049-5492
(605) 215-6695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101101
IA
101YM0800X
Mental Health Counselor
2448
NE
101YM0800X
Mental Health Counselor
Primary
30907
SD
Other
Enumeration date
02/25/2014
Last updated
02/03/2025
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