Individual
THOMAS A PEICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LICSW
Contact information
Practice address
7064 W PT DOUGLAS RD, STE #201, COTTAGE GROVE, MN 55016
(651) 458-5224
(651) 458-5310
Mailing address
101 W PINE ST, STILLWATER, MN 55082
(651) 439-8800
(651) 439-1040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW07209
MN
106H00000X
Marriage & Family Therapist
Primary
LMFT0189
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130P35PE
BCBS
MN
01
—
A8655040
BCBS
MN
01
—
HP38609
HEALTH PARTNERS
MN
Enumeration date
08/31/2006
Last updated
09/11/2025
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