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NPI Code Detail

MEDICARE: SOPHIA GIEGERICH AMFT

MEDICARE: SOPHIA GIEGERICH AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist160795CA

General Provider Information

NPI Number : 1255281861
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA GIEGERICH AMFT
Provider Business Mailing Address
First Line : PO BOX 2291
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-0291
Country : US
Telephone Number : 415-272-4164
Fax Number :
Provider Business Practice Location Address
First Line : 1160 N DUTTON AVE STE 230
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4658
Country : US
Telephone Number : 707-303-3225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ SOPHIA GIEGERICH AMFT” Practice Location

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