Individual
CYNTHIA A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP, LPCC, RPTS
Contact information
Practice address
14843 ENERGY WAY, APPLE VALLEY, MN 55124-5757
(952) 209-1644
(952) 423-0365
Mailing address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(952) 431-6033
(952) 431-3225
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5107
MN
Other
Enumeration date
10/02/2006
Last updated
12/02/2024
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