Individual
CRISTINE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
620 N HIGHWAY 6 STE D, GRETNA, NE 68028-8065
(402) 547-8812
Mailing address
10103 S 177TH ST, OMAHA, NE 68136-1970
(402) 547-8812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12439
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
BCBS
NE
Enumeration date
01/08/2021
Last updated
01/08/2021
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