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1063247237
NICOLE PETERSEN
MINNEAPOLIS, MN
NPI
1063247237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 4551)
Enumeration Date
2024-09-05
Last Update Date
2024-12-07
Business Address
NICOLE PETERSEN MA, LPCC
3133 HENNEPIN AVE
MINNEAPOLIS, MN 55408-2620
Phone number: 612-367-6370
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Mailing Address
NICOLE PETERSEN MA, LPCC
3815 BRYANT AVE S APT 6
MINNEAPOLIS, MN 55409-1061
Phone number: 612-559-9964
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