Individual
COURTNEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 HAWK ST, DETROIT LAKES, MN 56501-6958
(218) 844-6853
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/27/2016
Last updated
10/15/2025
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