Individual provider · Type 1 NPI

Cynthia Y. Petersen, LPCC

Professional Counselor · Albuquerque, NM

NPI number 1710105895 Active

Practice location

Pmg Cedar Pediatric Endocrinology, 201 Cedar SE Suite 4640
Albuquerque, NM 87106

Call (505) 563-6530 Map

Fax (505) 563-6325

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X3737 (NM)

Professional Counselor: Definition to come...

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About NPI 1710105895

Cynthia Y. Petersen, LPCC's National Provider Identifier is 1710105895, issued on Apr 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 12, 2014.