NPI 1033544119

Michael Robert Peterson, LMFT

Practitioner Mental Health Counselor Stillwater, MN

Practice location

Address: 522 4th St S, Stillwater, MN 55082-4966
Phone: (612) 220-6038
Mailing address: 6201 Saint Croix Trl N APT 119, Oak Park Heights, MN 55082-6966

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1565 (MI)

Other Counselor providers in Minnesota →

Registry record

NPI: 1033544119
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2013
Record last updated: 7 Jan 2020

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.