Provider Demographics
NPI:1437518925
Name:CINDY PETERSON M.A. LMFT PLCC CLIENT CENTERED COUNCILING
Entity Type:Organization
Organization Name:CINDY PETERSON M.A. LMFT PLCC CLIENT CENTERED COUNCILING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.A. LMFT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-474-6332
Mailing Address - Street 1:72 JUDY LN
Mailing Address - Street 2:
Mailing Address - City:MINNESOTA CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55959-1125
Mailing Address - Country:US
Mailing Address - Phone:507-474-6332
Mailing Address - Fax:
Practice Address - Street 1:72 JUDY LN
Practice Address - Street 2:
Practice Address - City:MINNESOTA CITY
Practice Address - State:MN
Practice Address - Zip Code:55959-1125
Practice Address - Country:US
Practice Address - Phone:507-474-6332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2531251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management