Individual provider · Type 1 NPI

Ann Renee Petersen, L.P.C.C., N.C.C.

Professional Counselor · Corrales, NM

NPI number 1629170790 Active

Practice location

4686 Corrales Rd
Corrales, NM 87048-8610

Fax (505) 890-1527

Mailing address

PO Box 3237
Corrales, NM 87048-3237

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0119911 (NM)

Professional Counselor: Definition to come...

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About NPI 1629170790

Ann Renee Petersen, L.P.C.C., N.C.C.'s National Provider Identifier is 1629170790, issued on Sep 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Corrales, NM. The record was last updated on Jan 21, 2025.