Individual
PETER JAMES HARTWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4708
(651) 774-0011
(651) 774-0606
Mailing address
3000 AMES CROSSING RD STE 600, EAGAN, MN 55121-2519
(651) 774-0011
(651) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
832
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692725400
—
MN
Enumeration date
12/29/2006
Last updated
12/13/2023
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