| Sofia Ekaterina Pettygrove, | |
|
2020 Coffee Rd Ste A-5, Modesto, CA 95355-2427 | |
| (209) 338-7361 | |
| (209) 232-7093 |
| Full Name | Sofia Ekaterina Pettygrove |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2020 Coffee Rd Ste A-5, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225548209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 123864 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sofia Ekaterina Pettygrove, Po Box 581921, Modesto, CA 95358-0033 Ph: (209) 338-7361 | Sofia Ekaterina Pettygrove, 2020 Coffee Rd Ste A-5, Modesto, CA 95355-2427 Ph: (209) 338-7361 |
Amber Nicole Allred, IMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 K St, Modesto, CA 95354 Phone: 209-550-5869 | |
Virginia A. Horton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coffee Road, Suite H-4, Modesto, CA 95355 Phone: 209-613-4255 Fax: 209-567-1015 | |
Natalie Rahe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Coffee Rd, Modesto, CA 95355 Phone: 209-554-6808 | |
Crystal A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 209-341-1824 | |
Chase Fetzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave, Modesto, CA 95350 Phone: 209-526-1476 | |
Nereida Lomeli, MFT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Tully Rd, Ste F, Modesto, CA 95350 Phone: 209-576-1750 Fax: 209-576-1768 | |
Cynthia Marie Mccleary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-622-1420 |