Organization
NICOLE PETERSEN WELL-BEING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PETERSEN LPCC (MANAGING MEMBER)
(612) 559-9964
Entity
Organization
Contact information
Practice address
3815 BRYANT AVE S APT 6, MINNEAPOLIS, MN 55409-1061
(612) 559-9964
Mailing address
7505 TERRITORY PASS, LAKEVILLE, MN 55044-6118
(612) 559-9964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
12/13/2024
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