# AMERICAN ASSOCIATION OF SOMATIC SEXOLOGISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366319923
- **Authorized official:** CRYSTAL AMINA PETERSON SSE, CS, SEP (DIRECTOR)
- **Authorized official phone:** (808) 954-0224

## Contact information

- **Practice address:** 11539 LIGHTNING WAY, SAN ANTONIO, TX 78245-3918
- **Practice address phone:** (808) 954-0224
- **Mailing address:** PO BOX 94932, ATLANTA, GA 30377-1932
- **Mailing address phone:** (808) 954-0224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 10/20/2025