Individual
MR. PETER MOISES FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10678
NE
101YM0800X
Mental Health Counselor
2052
MN
101YP2500X
Professional Counselor
Primary
2052
MN
Other
Enumeration date
05/05/2016
Last updated
09/03/2025
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