Individual
CYNTHIA Y PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
PMG CEDAR PEDIATRIC ENDOCRINOLOGY, 201 CEDAR SE SUITE 4640, ALBUQUERQUE, NM 87106
(505) 563-6530
(505) 563-6325
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3737
NM
101YP2500X
Professional Counselor
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97037265
—
NM
Enumeration date
04/23/2007
Last updated
08/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us