Individual
MRS. CYNTHIA M PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7105 SW 34TH AVE STE F, AMARILLO, TX 79109-2904
(806) 355-0655
(806) 355-0673
Mailing address
7105 SW 34TH AVE STE B, AMARILLO, TX 79109-2906
(806) 355-0655
(806) 355-0673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60133
TX
101YM0800X
Mental Health Counselor
Primary
60133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180943602
—
TX
Enumeration date
10/02/2006
Last updated
07/01/2015
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