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

Lydia Petersen, LGSW, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285478776

Lydia Petersen, LGSW, LADC is an Addiction (Substance Use Disorder) Counselor in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
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

5354 Parkdale Dr Fl 3
St Louis Park, MN 55416-1603
Phone: (919) 287-6274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 32713 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305955 (MN)

Record details

NPI number1285478776
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGSW , LADC
Sole proprietorYes
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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