IndividualActive
Carol Peterson
NPI 1255858510 · Addiction (Substance Use Disorder) Counselor · Virginia, MN
Provider details
- NPI number
- 1255858510
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 300222 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
505 S 12th Ave W
Virginia, MN 55792-3099
Phone: (218) 749-2877
Fax: (218) 749-6033
Approximate (ZIP-level) locationGet directions
Mailing address
505 S 12th Ave W
Virginia, MN 55792-3099
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.