MRS. JULIE ANN PETERSON NPI 1659838142

NPI Information

NPI: 1659838142
Provider Name: MRS. JULIE ANN PETERSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1811 WEIR DR STE 270
WOODBURY, MN
ZIP 55125
Phone: (651) 714-9646
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MRS. Julie Ann Peterson is an addiction (substance use disorder) counselor in Woodbury, MN. MRS. Julie Ann Peterson NPI is 1659838142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1811 WEIR DR STE 270
WOODBURY, MN
ZIP 55125-741
Phone: (651) 714-9646

The enumeration date for this NPI number is 2/21/2019 and was last updated on 2/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	305271	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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