person
Carol Camille Peterson
Addiction (Substance Use Disorder) Counselor in Virginia, Minnesota
NPI 1255858510

Carol Camille Peterson is an Addiction (Substance Use Disorder) Counselor based in Virginia, MN and is specialized in Addiction (Substance Use Disorder). Carol Camille Peterson practices in Virginia, MN. The NPI Number for Carol Camille Peterson is 1255858510 and holds a License No. 300222 (Minnesota).

The current practice location address for Carol Camille Peterson is 505 S 12Th Ave W, Virginia, MN and can be reached out via phone at 218-749-2877 and via fax at 218-749-6033.

Location: 505 S 12Th Ave W, Virginia, MN, 55792-3099
person
Provider Profile Details
NPI Number
1255858510
Provider Name
Carol Camille Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
505 S 12Th Ave W, Virginia, MN, 55792-3099
Phone Number
218-749-2877
Fax Number
218-749-6033
Provider Enumeration Date
08/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 S 12Th Ave W
City
State
Zip
55792-3099
Phone Number
218-749-2877
Fax Number
218-749-6033
person
Provider Business Mailing Address Details
Address
505 S 12Th Ave W
City
State
Zip
55792-3099
Phone Number
218-749-2877
Fax Number
218-749-6033
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300222 (Minnesota)
Definition
Definition to come...
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