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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396347423

Jennifer Marie Peterson, MA, LADC is an Addiction (Substance Use Disorder) Counselor in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1246 University Ave W
Saint Paul, MN 55104-4125
Phone: (612) 286-1407
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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 305381 (MN)

Record details

NPI number1396347423
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LADC
Sole proprietorNo
NPI enumeratedNovember 13, 2020
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

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