Individual
NICOLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W MAIN ST, LUVERNE, MN 56156-1829
(507) 449-6105
Mailing address
3824 S PISIDIAN AVE, SIOUX FALLS, SD 57110-7671
(605) 610-5473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4506
MN
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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