| Sonoma Family Therapy Inc | |
|
2230 Professional Dr Ste A Santa Rosa CA 95403-3015 | |
| (707) 483-9061 | |
| Not Available |
| Full Name | Sonoma Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2230 Professional Dr Ste A, Santa Rosa, California |
| Authorized Official Name and Position | Jennifer Ballard (OWNER) |
| Authorized Official Contact | 7078897317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Family Therapy Inc 2635 Cleveland Ave Ste 10 Santa Rosa CA 95403-2997 Ph: (707) 889-7317 | Sonoma Family Therapy Inc 2230 Professional Dr Ste A Santa Rosa CA 95403-3015 Ph: (707) 483-9061 |
| NPI Number | 1134588023 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134588023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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