person
Ms. Ann Renee Petersen, LPCC,NCC
Professional Counselor in Corrales, New Mexico
NPI 1629170790

Ann Renee Petersen is a Professional Counselor based in Corrales, NM and is specialized in Professional. Ann Renee Petersen practices in Corrales, NM and has the professional credentials of LPCC,NCC. The NPI Number for Ann Renee Petersen is 1629170790 and holds a License No. 0069062 (New Mexico).

The current practice location address for Ann Renee Petersen is 4686 Corrales Rd, Corrales, NM and can be reached out via phone at 505-400-9913 and via fax at 505-890-1527.

Location: 4686 Corrales Rd, Corrales, NM, 87048-3237
person
Provider Profile Details
NPI Number
1629170790
Provider Name
Ann Renee Petersen
Credential
LPCC,NCC
Provider Entity Type
Individual
Gender
Female
Address
4686 Corrales Rd, Corrales, NM, 87048-3237
Phone Number
505-400-9913
Fax Number
505-890-1527
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33007829 05 NM
615695 01 NM VALUE OPTIONS
613923500 01 NM OFFICE OF WORKERS' COMPENSATIONS PROGRAMS, FECA, DEPT OF LABOR
201-047-937 01 NM PRESBYTERIAN HEALTH PLANS
0000036606 01 NM STATE OF NM, DEPT. OF VOCATIONAL REHAB
10012607 01 NM LOVELACE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
4686 Corrales Rd
City
State
Zip
87048-8610
Phone Number
505-400-9913
Fax Number
505-890-1527
person
Provider Business Mailing Address Details
Address
4686 Corrales Rd
City
State
Zip
87048-8610
Phone Number
505-400-9913
Fax Number
505-890-1527
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0098101 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0069062 (New Mexico)
Definition
Definition to come...
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