SONYA CHAVEZ SERNA (NPI# 1952566515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952566515 |
Entity Type | Individual |
Full Name | SONYA CHAVEZ SERNA |
Credential | LMFT |
Practice Address |
221 Tuxedo Ct Ste F Stockton CA 95204-5261 |
Practice Telephone | 2096001531 |
Practice Fax Number | 2094758090 |
Mailing Telephone | 2096001531 |
Mailing Fax Number | 2094758090 |
Enumeration Date | 2008-07-23 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
53587 | CA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1604 Ford Ave Ste 2b, Modesto, CA 953504649 | 2096001531 | |
1700 Mchenry Village Way # 11, Modesto, CA 953504308 | 2095261476 | 2095260908 |
Street Address |
221 TUXEDO CT STE F |
City | STOCKTON |
State | CA |
Zip Code | 95204-5261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568641884 | Miyuki Coirin | Counselor | 221 Tuxedo Ct Ste F, Stockton, CA 95204-5261 | 2007-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
Find all providers in zip 95204 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942760574 | Kimberly Kendall | Counselor | 5651 N Pershing Ave Ste C6, Stockton, CA 95207-4947 | 2019-03-20 |
1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
1932644796 | Ronee Latrese Martin | Counselor | 1062 Springoak Way, Stockton, CA 95209-2040 | 2017-01-03 |
1508227158 | Nazia A Khan | Counselor | 127 N. Sutter Street, Child Abuse Prevention Council, Stockton, CA 95202 | 2016-03-10 |
1134542533 | Loral Lee Portenier | Counselor | 620 N Cedar St, Stockton, KS 67669-1326 | 2014-01-22 |
1871767376 | Ramil Aguilar Doronio | Counselor | 2132 Honeybrook St, Stockton, CA 95209-4242 | 2008-04-15 |
1659971679 | Sadith Mariscal Velasquez | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-28 |
1154928372 | Estefania Vargas | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-01 |
1316544539 | Aly Crystal Ramirez | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-01 |
1831702653 | Janet Moreno | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-08-31 |
Find all providers in STOCKTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.