Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marina Vanessa Petersen

Individual provider Marriage & Family Therapist · NPI 1891439758

Marina Vanessa Petersen is a Marriage and Family Therapist in Manteca, California. Qualified in 2022, 4 years ago. Offers telehealth.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

129 E Center St Ste 3
Manteca, CA 95336-4648
Phone: (209) 239-5553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1891439758
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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