Individual
CASEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3801 W 50TH ST # 250B, MINNEAPOLIS, MN 55410-2047
(612) 787-5121
Mailing address
3801 W 50TH ST # 250B, MINNEAPOLIS, MN 55410-2047
(612) 787-5121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2019
Last updated
06/23/2019
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