KATHLEEN A PETERSON LAPC
NPI 1932407640
Counselor - Professional in Grand Forks, ND
Active since March 03, 2011
About Kathleen A Peterson Lapc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN A PETERSON LAPC (NPI 1932407640) is an individual professional provider in Grand Forks, North Dakota, licensed in North Dakota (662-5-1-10A) and active in the NPI registry since March 2011.
NPPES Registry Identity
NPI1932407640
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN A PETERSONCredential: LAPC
Location Address1601 17TH AVE SGrand Forks, ND 58201
Mailing Address2315 Library CirGrand Forks, ND 58201-6327 · (701) 795-8550 · Fax (701) 746-5523
Phone(701) 795-8550
Fax(701) 746-5523
Sole ProprietorNo
Enumeration DateMarch 3, 2011
✔ NPI 1932407640 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ND · 662-5-1-10A
1601 17TH AVE S, Grand Forks, ND 58201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932407640, enumerated as an "individual" on March 03, 2011.
The provider is located at 1601 17TH AVE S GRAND FORKS, ND 58201 and the phone number is (701) 795-8550.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
