Individual
BETHANY L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Mailing address
3025 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2255
(612) 559-5101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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