Individual
JOSEPHINE ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 WAYZATA BLVD E STE 210, WAYZATA, MN 55391-1915
(952) 443-4600
(952) 443-4604
Mailing address
1120 WAYZATA BLVD E STE 210, WAYZATA, MN 55391-1915
(952) 443-4600
(952) 443-4604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5271
MN
Other
Enumeration date
06/08/2023
Last updated
11/05/2025
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