Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candice Peterson, LADC, LAMFT

Individual provider Mental Health Counselor · NPI 1902362189

Candice Peterson, LADC, LAMFT is a Mental Health Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2118 Blaisdell Ave
Minneapolis, MN 55404-2415
Phone: (612) 235-4692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 304060 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3800 (MN)

Record details

NPI number1902362189
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC , LAMFT
Sole proprietorNo
NPI enumeratedFebruary 13, 2019
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

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