Petersen, Kevin Lee

Petersen, Kevin Lee is an individual health care provider with primary practice located at 401 16Th St Se , Rochester MN 55904-7973. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Petersen, Kevin Lee can be contacted via phone (507) 315-4184.

Contact Information

Primary practice address
401 16Th St Se Rochester MN 55904-7973
Phone: (507) 315-4184
Fax: (507) 516-0031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6513 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00399 Iowa

Profile Details

NPI number 1578759270
LBN Legal business name Petersen, Kevin Lee
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Mar 13th, 2020 - about 6 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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