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Organization
AMERICAN ASSOCIATION OF SOMATIC SEXOLOGISTS
Active
Organization
AMERICAN ASSOCIATION OF SOMATIC SEXOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL AMINA PETERSON SSE, CS, SEP (DIRECTOR)
(808) 954-0224
Entity
Organization
Contact information
Practice address
11539 LIGHTNING WAY, SAN ANTONIO, TX 78245-3918
(808) 954-0224
Mailing address
PO BOX 94932, ATLANTA, GA 30377-1932
(808) 954-0224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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