Peterson Counseling And Supervision, Llc

LBN: Peterson Counseling And Supervision, Llc
Peterson Counseling And Supervision, Llc is an health care organization with primary practice located at 1585 Thomas Center Dr 104, Eagan MN 55122-3007. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Peterson Counseling And Supervision, Llc can be contacted via phone (952) 808-6848, or through Peterson, Jessica Ann via phone (952) 808-6848.

Contact Information

Primary practice address
1585 Thomas Center Dr 104 Eagan MN 55122-3007
Phone: (952) 808-6848
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Jessica Ann LICSW
Phone: (952) 808-6848

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 20365 Minnesota
Agencies / Community/Behavioral Health 251S00000X 20366 Minnesota

Profile Details

NPI number 1285990002
LBN Legal business name Peterson Counseling And Supervision, Llc
DBA Doing business as
Authorized official Peterson, Jessica Ann LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2012
Last updated Nov 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285990002 NPPES
Minnesota MEDICAID 06202

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