Most Relevant Information
Provider Data
| NPI Number: | 1003506551 |
| Provider Name: | SONIA PETERSON PH.D. CRC LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 350 |
Most Important Dates
| Enumeration Date: | 05/09/2023 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
8064 ALLISON AVE # 1563
LA MESA
CA
91942
Practice Location Phone/Fax
| Phone: | 6195596646 |
| Fax: |
Provider Mailing Location
8064 ALLISON AVE # 1563
LA MESA
CA
91942
Provider Mailing Phone/Fax
| Phone: | 6195596646 |
| Fax: |