Search › Minnesota › 103TC0700X
Kevin Petersen, LMHC
NPI 1578759270 · on the registry since 2007
Practice
- Address
- 401 16th St Se
Rochester, MN 55904 - Phone
- (507) 315-4184
- Fax
- (507) 516-0031
- Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
- Licence states on file
- MN, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota