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Organization
SONOMA FAMILY THERAPY INC
Active
Organization
SONOMA FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALLARD (OWNER)
(707) 889-7317
Entity
Organization
Contact information
Practice address
2230 PROFESSIONAL DR STE A, SANTA ROSA, CA 95403-3015
(707) 483-9061
Mailing address
2635 CLEVELAND AVE STE 10, SANTA ROSA, CA 95403-2997
(707) 889-7317
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
09/30/2024
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