Individual
CYNTHIA LEE PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
416 W SOUTH ST, OCONOMOWOC, WI 53066-2755
(262) 567-7673
(262) 567-3097
Mailing address
416 W SOUTH ST, OCONOMOWOC, WI 53066-2755
(262) 567-7673
(262) 567-3097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39343100
—
WI
Enumeration date
10/20/2005
Last updated
09/11/2025
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