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General NPI Number Information
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NPI Number | 1952217549
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Entity Type | Organization
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Legal Business Name | CHERYL PETERSON MARRIAGE AND FAMILY THERAPY PC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 531 S WASHINGTON ST
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City | SONORA
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State | CA
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Zip | 95370-5114
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Country | US
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Telephone | 209-559-2432
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Fax | 209-532-5003
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Provider Business Mailing Address
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Address Line | PO BOX 4452
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City | SONORA
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State | CA
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Zip | 95370-1452
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Country | US
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Telephone | 209-559-2432
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Fax | 209-532-5003
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Authorized Official
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Title or Position | MFT/OWNER
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Name | CHERYL LYNN PETERSON
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Credential | MS
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Telephone | 209-559-2432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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