National Provider Identifier Database

MELISSA A PETERSON, LPCC – NPI #1043012156
Professional


Contact Information

MELISSA A PETERSON, LPCC
1208 OLENA AVE SE
WILLMAR, MN56201
Phone: 320-235-0341
Fax: 320-214-3335
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for MELISSA A PETERSON

NPI Number 1043012156
Credentials LPCC
Entity Individual
Enumeration date 03/27/2025
Last updated 03/27/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • MN License #: CC03730
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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