NPI 1003284886
Stephen Wayne Peterson, LPCC
Practice location
- Address
- 7400 Metro Blvd STE 220, Edina, MN 55439-2321
- Phone
- (952) 220-7164
- Mailing address
- 8630 Queen Ave S, Bloomington, MN 55431-1904
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1003284886
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Sep 2015
- Record last updated
- 1 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.