Individual
SOPHIA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 9TH ST STE A, MODESTO, CA 95350-5814
(209) 558-4598
(209) 558-4586
Mailing address
3416 ALISA CT, MODESTO, CA 95356-9440
(209) 505-0346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C9301214
CA
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/04/2009
Last updated
05/14/2025
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