Individual
KATHLEEN A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1601 17TH AVE S, GRAND FORKS, ND 58201
(701) 795-8550
(701) 746-5523
Mailing address
2315 LIBRARY CIR, GRAND FORKS, ND 58201-6327
(701) 795-8550
(701) 746-5523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
662-5-1-10A
ND
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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