| Jon Walter Petersen, MA, MED, LPCC, CMHC | |
|
1155 Ford Rd Ste B, St Louis Park, MN 55426-1115 | |
| (952) 378-1800 | |
| (952) 378-1714 |
| Full Name | Jon Walter Petersen |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1155 Ford Rd Ste B, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831735141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12348521-6004 (Utah) | Secondary |
| 101YP2500X | Counselor - Professional | 2463 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Walter Petersen, MA, MED, LPCC, CMHC 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033 | Jon Walter Petersen, MA, MED, LPCC, CMHC 1155 Ford Rd Ste B, St Louis Park, MN 55426-1115 Ph: (952) 378-1800 |
Abubakar Binji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4236 Park Glen Rd, St Louis Park, MN 55416 Phone: 952-888-7055 Fax: 612-605-3312 | |
Shania Vaupel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5354 Parkdale Dr, St Louis Park, MN 55416 Phone: 888-364-5977 | |
Gabrielle Marie Geary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898 | |
Sarah Joy Najafalipour, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, St Louis Park, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496 | |
Barbarajean Hartos-hord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898 | |
Carrie Salsness, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3705 Park Center Blvd, St Louis Park, MN 55416 Phone: 952-405-7643 | |
Louise Charlotte Rollins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, St Louis Park, MN 55426 Phone: 612-223-8898 |