Individual
JILL MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W FRANKLIN AVE, MINNEAPOLIS, MN 55404-2331
(612) 367-4145
Mailing address
1823 14TH AVE S APT 2, MINNEAPOLIS, MN 55404-2103
(612) 227-1174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4095
MN
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
08/06/2025
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