Search › Minnesota › 101YA0400X
Mata Peterson, LSW, LADC
NPI 1710320890 · on the registry since 2013
Practice
- Address
- 227 6th St N
Breckenridge, MN 56520 - Phone
- (701) 640-8915
- Organisation at this address
- Life Transformations
Wilkin County Family ServicesInferred from a shared address, not stated in the registry.
Additional practice sites
- 2400 St. Francis Drive, Breckenridge, MN
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 104100000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-21
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