Most Relevant Information
Provider Data
| NPI Number: | 1003025586 |
| Provider Name: | KARENA CAIA PETERSEN MARRIAGE FAMILY THER |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC38953 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 01/05/2019 |
Provider Practice Location
137 E HAMILTON AVE STE 204
CAMPBELL
CA
950080244
Practice Location Phone/Fax
| Phone: | 4087720644 |
| Fax: | 4083641684 |
Provider Mailing Location
137 E HAMILTON AVE STE 204
CAMPBELL
CA
950080244
Provider Mailing Phone/Fax
| Phone: | 4087720644 |
| Fax: | 4083641684 |