MICHAEL ROBERT PETERSON

STILLWATER, MN
NPI1033544119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  1565)
Enumeration Date2013-09-09
Last Update Date2020-01-07
Business Address
MICHAEL ROBERT PETERSON LMFT
522 4TH ST S
STILLWATER, MN 55082-4966
Phone number: 612-220-6038
Mailing Address
MICHAEL ROBERT PETERSON LMFT
6201 SAINT CROIX TRL N APT 119
OAK PARK HEIGHTS, MN 55082-6966
Phone number: 612-220-6038