Basic Information
| Provider Information | |||||||||
| NPI: | 1770097263 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWELL | ||||||||
| FirstName: | SONYA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5325 ELKHORN BLVD # 1078 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958422526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7076244000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 QUALITY DR | ||||||||
| Address2: | |||||||||
| City: | VACAVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956889494 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7076244000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2017 | ||||||||
| LastUpdateDate: | 02/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/25/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 102921 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | 102921 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.