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Mr. Kevin Lee Petersen, LMHC
Mental Health Counselor in Rochester, Minnesota
NPI 1578759270

Kevin Lee Petersen is a Mental Health Counselor based in Rochester, MN and is specialized in Mental Health. Kevin Lee Petersen practices in Rochester, MN and has the professional credentials of LMHC. The NPI Number for Kevin Lee Petersen is 1578759270 and holds a License No. LP6513 (Minnesota).

The current practice location address for Kevin Lee Petersen is 401 16Th St Se, Rochester, MN and can be reached out via phone at 507-315-4184 and via fax at 507-516-0031. You can also correspond with Kevin Lee Petersen through the mailing address at 401 16TH ST SE, ROCHESTER, MN - 55904-7973 (mailing address contact number: 507-315-4184).

Location: 401 16Th St Se, Rochester, MN, 55904-7973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578759270
Provider Name
Kevin Lee Petersen
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
401 16Th St Se, Rochester, MN, 55904-7973
Phone Number
507-315-4184
Fax Number
507-516-0031
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 16Th St Se
City
Rochester
State
Minnesota
Zip
55904-7973
Phone Number
507-315-4184
Fax Number
507-516-0031
person
Provider Business Mailing Address Details
Address
401 16Th St Se
City
Rochester
State
Minnesota
Zip
55904-7973
Phone Number
507-315-4184
Fax Number
507-516-0031
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
00399 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP6513 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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