Search › Minnesota › 101YM0800X
Lydia Petersen, LGSW, LADC
NPI 1285478776 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5354 Parkdale Dr Fl 3
St Louis Park, MN 55416 - Phone
- (919) 287-6274
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-20
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