Ann Renee Petersen, L.P.C.C., N.C.C.

Professional Counselor · Corrales, NM

Individual Active NPI

NPI number 1629170790

Practice location

4686 Corrales Rd
Corrales, NM 87048-8610
Phone
(505) 400-9913
Fax
(505) 890-1527

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NPI record

NPI
1629170790
Entity type
Individual (Type 1)
Enumeration date
September 1, 2006
Last updated
January 21, 2025
Certified
January 21, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 0119911 NM

Mailing address

PO Box 3237
Corrales, NM 87048-3237
Phone
(505) 400-9913

About Ann Petersen

Ann Renee Petersen, L.P.C.C., N.C.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 4686 Corrales Rd, Corrales, NM 87048-8610. The NPI number 1629170790 was assigned on September 1, 2006 and the record was last updated on January 21, 2025.

Ann Petersen lists a license in the registry: #0119911 (NM) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ann Renee Petersen, L.P.C.C., N.C.C.?

The NPI number is 1629170790.

What is the phone number of Ann Petersen?

The phone number listed for the practice location is (505) 400-9913.

Where is Ann Petersen located?

4686 Corrales Rd, Corrales, NM 87048-8610.

What is the taxonomy code for Ann Petersen?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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