Search › Minnesota › 170300000X
Marcus Peterson, CGC
NPI 1104786532 · on the registry since 2025
Practice
- Address
- 3931 Louisiana Ave S
St. Louis Park, MN 55426 - Phone
- (952) 993-3230
- Fax
- (952) 993-1748
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 170300000X
170300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-17
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