Allie Clifford, AMFT

Individual provider Active NPI Mental Health Counselor · Sonoma, CA

NPI 1780464271 · NPPES record last updated Oct 2, 2023

Key facts

NPI
1780464271
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
141383 (CA)
Practice address
17000 Arnold Dr
Sonoma, CA 95476-3242
Phone
(707) 933-4482
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
141383CAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 141383 CA Yes

Addresses

Primary practice location

17000 Arnold Dr
Sonoma, CA 95476-3242

Mailing address

17000 Arnold Dr
Sonoma, CA 95476-3242

Other providers in Sonoma, CA

All providers in Sonoma, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.