Individual
MATTHEW J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
ST CLOUD HOSPITAL, 1406 6TH AVENUE NORTH, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
ST CLOUD HOSPITAL, 1406 6TH AVENUE NORTH, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3674
MN
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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