Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Judeth Petersen, MA, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033263652

MS. Judeth Petersen, MA, LPC is an Addiction (Substance Use Disorder) Counselor in Gillette, Wyoming. Licensed in North Dakota and Wyoming. Registered with an NPI since 2007.

Licensed in
ND, WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

501 S Burma Ave
Gillette, WY 82716-3426
Phone: (307) 688-5000
Fax: (307) 688-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LPC-1129 (WY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1512 (ND)

Record details

NPI number1033263652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 25, 2011

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