Healthcare Provider Details

I. General information

NPI: 1013784750
Provider Name (Legal Business Name): PATRICIA MAGDALENE PETERS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 IRON POINT RD STE 160
FOLSOM CA
95630-8834
US

IV. Provider business mailing address

1839 IRON POINT RD STE 160
FOLSOM CA
95630-8834
US

V. Phone/Fax

Practice location:
  • Phone: 916-300-8276
  • Fax:
Mailing address:
  • Phone: 916-300-8276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: