| Eric Peterson, MA, LPCC, LADC | |
|
2855 Anthony Ln S Ste 140, Saint Anthony, MN 55418-2880 | |
| (612) 412-4873 | |
| Not Available |
| Full Name | Eric Peterson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2855 Anthony Ln S Ste 140, Saint Anthony, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598342503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305906 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3809 (Minnesota) | Primary |
| Entity Name | Catalyst Insight Collective Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619562113 PECOS PAC ID: 8820438955 Enrollment ID: O20240506003640 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Peterson, MA, LPCC, LADC 2734 Dellwood Ave, Roseville, MN 55113-1825 Ph: (218) 393-6744 | Eric Peterson, MA, LPCC, LADC 2855 Anthony Ln S Ste 140, Saint Anthony, MN 55418-2880 Ph: (612) 412-4873 |
Jenny Odden, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3803 Silver Lake Rd Ne Ste 100, Saint Anthony, MN 55421 Phone: 612-712-1993 | |
Nicole Muzzy, MA, LMFT, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3025 Silver Lake Rd Ne, Saint Anthony, MN 55418 Phone: 651-285-6363 | |
Abdullahi Rage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3055 Old Highway 8 Ste 160, Saint Anthony, MN 55418 Phone: 763-205-5424 Fax: 763-205-6183 | |
Awo Mohamed Mohamud, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Stinson Blvd Ste 314, Saint Anthony, MN 55421 Phone: 612-298-7636 |