Individual
ERIN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
Mailing address
11414 DOGWOOD ST NW APT 202, COON RAPIDS, MN 55448-2490
(218) 371-5523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01865
MN
101YM0800X
Mental Health Counselor
02104
MN
Other
Enumeration date
01/17/2018
Last updated
10/26/2020
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