Peterson, Katherine Ann
Peterson, Katherine Ann is an individual health care provider with primary practice located at 1155 Ford Rd Ste B , St Louis Park MN 55426-1115. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Peterson, Katherine Ann can be contacted via phone (952) 378-1800.Contact Information
Primary practice address
1155 Ford Rd Ste B
St Louis Park MN 55426-1115
Phone: (952) 378-1800
Fax: (952) 378-1714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4403 | Minnesota |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305945 | Minnesota |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4403 | Minnesota |
Profile Details
| NPI number | 1336997063 |
|---|---|
| LBN Legal business name | Peterson, Katherine Ann |
| Credentials | MA, LPCC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2024 |
| Last updated | Jun 4th, 2026 - about 4 months 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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