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
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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