| Sonoma Valley Family Therapy Pc | |
|
814 Broadway Sonoma CA 95476-7584 | |
| (707) 509-8031 | |
| (707) 339-8339 |
| Full Name | Sonoma Valley Family Therapy Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 814 Broadway, Sonoma, California |
| Authorized Official Name and Position | Victoria Rohrer (CO-OWNER/TREASURER) |
| Authorized Official Contact | 7074941279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Valley Family Therapy Pc 814 Broadway Sonoma CA 95476-7584 Ph: (707) 509-8031 | Sonoma Valley Family Therapy Pc 814 Broadway Sonoma CA 95476-7584 Ph: (707) 509-8031 |
| NPI Number | 1205426905 |
|---|---|
| Provider Enumeration Date | 01/26/2021 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205426905 | NPI | - | NPPES |
| 1222242 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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