Individual
MEIRA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5 CALIENTE RD STE 2B, SANTA FE, NM 87508-9102
(505) 231-5481
Mailing address
5 CALIENTE RD STE 2B, SANTA FE, NM 87508-9102
(505) 231-5481
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0165401
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12423451
CAQH
NM
05
—
16505280
—
NM
Enumeration date
11/23/2010
Last updated
01/26/2022
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