Peterson, Eileen Marie

Peterson, Eileen Marie is an individual health care provider with primary practice located at 207 Jefferson Blvd , Big Lake MN 55309-4667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Peterson, Eileen Marie can be contacted via phone (763) 367-6080.

Contact Information

Primary practice address
207 Jefferson Blvd Big Lake MN 55309-4667
Phone: (763) 367-6080
Fax: (763) 263-7897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3566 Minnesota

Profile Details

NPI number 1922551597
LBN Legal business name Peterson, Eileen Marie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2016
Last updated Oct 4th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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