Individual
MRS. LYNN R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
16351 I94, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
Mailing address
16351 I94 STE 204, SENTINEL BUTTE, ND 58654-9500
(701) 872-3745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1087-10-1-20
ND
101YP2500X
Professional Counselor
178.008128
IL
Other
Enumeration date
10/25/2016
Last updated
10/21/2020
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