Individual
DEBRA LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
425 W GRIGGS AVE, LAS CRUCES, NM 88005-2605
(575) 525-9221
Mailing address
425 W GRIGGS AVE, LAS CRUCES, NM 88005-2605
(575) 525-9221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0125491
NM
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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