Healthcare Provider Details

I. General information

NPI: 1669156147
Provider Name (Legal Business Name): MISS ISABELLA GREGORETTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1197 CIELO CIR
ROHNERT PARK CA
94928-3551
US

IV. Provider business mailing address

1197 CIELO CIR APT SUITE
ROHNERT PARK CA
94928-3551
US

V. Phone/Fax

Practice location:
  • Phone: 707-495-8573
  • Fax:
Mailing address:
  • Phone: 707-495-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: