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Individual
MS. LYNDA CANNEZZARO PETERSON
Active
Individual
MS. LYNDA CANNEZZARO PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED., LP, LCDC, NBC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78008
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
13912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13912
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
01
—
78008
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
01
—
833028
NATIONAL BOARD CERTIFIED COUNSELOR
TX
Enumeration date
03/23/2020
Last updated
03/23/2020
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