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Search › Minnesota › 101YA0400X

Joseph Petersen, BS, LADC

NPI 1699143149 · on the registry since 2015 · sole proprietor

Practice

Address
203 W Clark St
Albert Lea, MN 56007
Phone
(507) 377-5484
Fax
(507) 377-5505
Organisation at this address
County Of Freeborn
County Of Freeborn
County Of Freeborn
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-26

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