Peterson Counseling And Supervision, Llc

NPI 1285990002 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1285990002
Enumeration Date 04/05/2012
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JESSICA ANN JESSICA
Position PARTNER
Phone (952) 808-6848
Fax
Practice Location
1585 THOMAS CENTER DR
104
EAGAN MN, 55122-3007, US
Phone (952) 808-6848
Fax
Business Location
1585 THOMAS CENTER DR
104
EAGAN MN, 55122-3007, US
Phone (952) 808-6848
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Minnesota
License Number 20366
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According to our database, Peterson Counseling And Supervision, Llc NPI is 1285990002, taxonomy code is 251S00000X and license number is 20366, license state is located at Minnesota. Peterson Counseling And Supervision, Llc physically located at 1585 Thomas Center Dr, Eagan MN, 55122-3007. NPI Number 1033115704 has the healthcare provider type.

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1285990002 NPI number is provided on an as is basis without warranty of any kind. 1285990002 is maintained by the National Plan & Provider Enumeration System. The contents of Peterson Counseling And Supervision, Llc are for informational purposes only.