Healthcare Provider Details

I. General information

NPI: 1952217549
Provider Name (Legal Business Name): CHERYL PETERSON MARRIAGE AND FAMILY THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 S WASHINGTON ST
SONORA CA
95370-5114
US

IV. Provider business mailing address

PO BOX 4452
SONORA CA
95370-1452
US

V. Phone/Fax

Practice location:
  • Phone: 209-559-2432
  • Fax: 209-532-5003
Mailing address:
  • Phone: 209-559-2432
  • Fax: 209-532-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHERYL LYNN PETERSON
Title or Position: MFT/OWNER
Credential: MS
Phone: 209-559-2432