Individual
LAURA LINN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 210-9966
Mailing address
16400 43RD AVE N, PLYMOUTH, MN 55446-2435
(612) 655-1557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC05375
MN
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
01/16/2026
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