Healthcare Provider Details

I. General information

NPI: 1043167414
Provider Name (Legal Business Name): PETER KWEI AKUETE AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3749 SUDBURY RD
CAMERON PARK CA
95682-8613
US

IV. Provider business mailing address

PO BOX 293
CITRUS HEIGHTS CA
95611-0293
US

V. Phone/Fax

Practice location:
  • Phone: 209-418-4822
  • Fax: 425-944-1119
Mailing address:
  • Phone: 301-332-2137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number153861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: