| 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 |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 123864 (California) | Primary |
| 101YP2500X | Counselor - Professional | (NU) | Secondary |
| 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 |
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 |
Mrs. Jessica Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-622-1420 |
Edelya Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-576-1750 |
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 |