Nathan Shawn Peralta Thephavongsa
Nathan Shawn Peralta Thephavongsa is a Marriage & Family Therapist in Sacramento, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
5445 Laurel Hills DrSacramento, CA 95841-3105
Phone: (916) 609-5100
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 151868 (CA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X |
Record details
| NPI number | 1912630450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 1, 2022 |
| Last updated in NPPES | March 5, 2026 |
| Certification date | March 5, 2026 |
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