person
Sofia Ekaterina Pettygrove
Mental Health Counselor in Modesto, California
NPI 1225548209

Sofia Ekaterina Pettygrove is a Mental Health Counselor based in Modesto, CA and is specialized in Mental Health. Sofia Ekaterina Pettygrove practices in Modesto, CA. The NPI Number for Sofia Ekaterina Pettygrove is 1225548209 and holds a License No. (California).

The current practice location address for Sofia Ekaterina Pettygrove is 2020 Coffee Rd Ste A-5, Modesto, CA and can be reached out via phone at 209-338-7361 and via fax at 209-232-7093.

Location: 2020 Coffee Rd Ste A-5, Modesto, CA, 95358-0033
person
Provider Profile Details
NPI Number
1225548209
Provider Name
Sofia Ekaterina Pettygrove
Credential
Provider Entity Type
Individual
Gender
Female
Address
2020 Coffee Rd Ste A-5, Modesto, CA, 95358-0033
Phone Number
209-338-7361
Fax Number
209-232-7093
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 Coffee Rd Ste A-5
City
State
Zip
95355-2427
Phone Number
209-338-7361
Fax Number
209-232-7093
person
Provider Business Mailing Address Details
Address
2020 Coffee Rd Ste A-5
City
State
Zip
95355-2427
Phone Number
209-338-7361
Fax Number
209-232-7093
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
123864 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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