Peterson, Jessica Ann
Peterson, Jessica Ann is an sole proprietor health care provider with primary practice located at 1585 Thomas Center Dr Ste 104, Eagan MN 55122-3039. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peterson, Jessica Ann can be contacted via phone (763) 560-0900.Contact Information
Primary practice address
1585 Thomas Center Dr Ste 104
Eagan MN 55122-3039
Phone: (763) 560-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4550 | North Dakota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3028 | South Dakota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 20365 | Minnesota |
Profile Details
| NPI number | 1497966238 |
|---|---|
| LBN Legal business name | Peterson, Jessica Ann |
| Credentials | LICSW, CSW-PIP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jan 14th, 2019 - about 5 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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