CAROL CAMILLE PETERSON – Addiction (Substance Use Disorder) Counselor, NPI 1255858510

CAROL CAMILLE PETERSON is a healthcare provider. based in Virginia, Minnesota. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 300222 (MN). The NPI Number for CAROL CAMILLE PETERSON is 1255858510

Main info

Female
Name
CAROL CAMILLE PETERSON
NPI
1255858510
Phone
(218) 749-2877
Address
505 S 12TH AVE W
Enumeration Date
28 August 2017
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for CAROL CAMILLE PETERSON

  • Arrowhead Center, 505, South 12th Avenue West, Virginia, Saint Louis County, Minnesota, 55792, United States

    VIRGINIA, MN 557923099

    Phone: (218) 749-2877

    Fax: (218) 749-6033

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55792)

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Frequently asked questions

What is the 10-digit NPI for CAROL CAMILLE PETERSON?
CAROL CAMILLE PETERSON — NPI 1255858510 — is the standard way to identify this listing.
Can I rely on CAROL CAMILLE PETERSON being an active provider?
As of the registry snapshot, CAROL CAMILLE PETERSON is marked active.
What is CAROL CAMILLE PETERSON's specialty?
The listing groups CAROL CAMILLE PETERSON with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where is CAROL CAMILLE PETERSON based?
CAROL CAMILLE PETERSON is tied to Virginia, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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