Healthcare Provider Details

I. General information

NPI: 1720936149
Provider Name (Legal Business Name): GOLD COUNTY COUNSELING A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 1/2 WASHINGTON ST
SONORA CA
95370
US

IV. Provider business mailing address

PO BOX 4133
SONORA CA
95370-4133
US

V. Phone/Fax

Practice location:
  • Phone: 209-222-8166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. HEATHER D ALBERTSON
Title or Position: OWNER
Credential: LCSW
Phone: 209-222-8166