Healthcare Provider Details

I. General information

NPI: 1093190332
Provider Name (Legal Business Name): SONJA REINECKE MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONJA WILLIAMS

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 10/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 LONETREE BLVD STE 203
ROCKLIN CA
95765-3794
US

IV. Provider business mailing address

5701 LONETREE BLVD STE 203
ROCKLIN CA
95765-3794
US

V. Phone/Fax

Practice location:
  • Phone: 916-943-6574
  • Fax:
Mailing address:
  • Phone: 916-943-6574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number87414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: