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Jon Walter Petersen, LPC
Counselor in Minneapolis, Minnesota
NPI 1831735141

Jon Walter Petersen is a Counselor based in Minneapolis, MN. Jon Walter Petersen practices in Minneapolis, MN and has the professional credentials of LPC. The NPI Number for Jon Walter Petersen is 1831735141 and holds a License No. (Minnesota).

The current practice location address for Jon Walter Petersen is 4136 Queen Ave S Apt 100, Minneapolis, MN and can be reached out via phone at 952-564-7365.

Location: 4136 Queen Ave S Apt 100, Minneapolis, MN, 55410-1254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831735141
Provider Name
Jon Walter Petersen
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4136 Queen Ave S Apt 100, Minneapolis, MN, 55410-1254
Phone Number
952-564-7365
Fax Number
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4136 Queen Ave S Apt 100
City
Minneapolis
State
Minnesota
Zip
55410-1254
Phone Number
952-564-7365
Fax Number
person
Provider Business Mailing Address Details
Address
4136 Queen Ave S Apt 100
City
Minneapolis
State
Minnesota
Zip
55410-1254
Phone Number
952-564-7365
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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