Individual
MS. VIVIAN M PERALTA MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
748 MARKET ST STE 82, TACOMA, WA 98402-3737
(704) 910-7942
Mailing address
748 MARKET ST STE 82, TACOMA, WA 98402-3737
(704) 910-7942
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1297
NC
106H00000X
Marriage & Family Therapist
4516
SC
106H00000X
Marriage & Family Therapist
Primary
LF61566719
WA
Other
Enumeration date
01/11/2007
Last updated
09/22/2024
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