Healthcare Provider Details

I. General information

NPI: 1013848969
Provider Name (Legal Business Name): SONJA MICOCCI MARRIAGE AND FAMILY THERAPIST, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 MARKET ST STE 1940
SAN FRANCISCO CA
94105-2448
US

IV. Provider business mailing address

455 MARKET ST STE 1940
SAN FRANCISCO CA
94105-2448
US

V. Phone/Fax

Practice location:
  • Phone: 415-730-5163
  • Fax:
Mailing address:
  • Phone: 415-730-5163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SONJA MICOCCI
Title or Position: OWNER
Credential: MA, LMFT, PPS
Phone: 415-730-5163