Sonia Isabel Ambriz, MS
Individual provider Active NPI Marriage & Family Therapist · Modesto, CA
NPI 1659510022 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1659510022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 150431 (CA)
- Practice address
- 1700 McHenry Village Way
Modesto, CA 95350-4308 - Phone
- (209) 550-5850
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150431 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 150431 | CA | Yes |
Addresses
Primary practice location
1700 McHenry Village Way
Modesto, CA 95350-4308
Mailing address
1600 N Carpenter Rd Ste B
Modesto, CA 95351-1185
Phone (209) 550-5850
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All providers in Modesto, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.