Peterson, Lynda Cannezzaro

Peterson, Lynda Cannezzaro is an sole proprietor health care provider with primary practice located at 2822 Meadow Brook Ct , League City TX 77573-4344. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Peterson, Lynda Cannezzaro can be contacted via phone (954) 644-9521.

Contact Information

Primary practice address
2822 Meadow Brook Ct League City TX 77573-4344
Phone: (954) 644-9521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13912 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 78008 Texas

Profile Details

NPI number 1386270205
LBN Legal business name Peterson, Lynda Cannezzaro
Credentials MSED., LP, LCDC, NBC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2020
Last updated Mar 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386270205 NPPES
Texas Other 13912 TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
Texas Other 78008 TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
Texas Other 833028 TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

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