Individual
EMILY JOAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 NW 1ST AVE, GRAND RAPIDS, MN 55744-2702
(218) 360-1800
Mailing address
25184 NORTH RD, BOVEY, MN 55709-8347
(218) 360-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5437
MN
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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