Individual provider · Type 1 NPI

Mante Isaiah Petersen

Marriage & Family Therapist · Riverside, CA

NPI number 1881592095 Active

Practice location

6800 Indiana Ave Ste 150
Riverside, CA 92506-4286

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	151426 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1881592095

Mante Isaiah Petersen's National Provider Identifier is 1881592095, issued on Oct 28, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Riverside, CA. The record was last updated on Oct 28, 2026.