Humerez, Sonia L

Humerez, Sonia L is an sole proprietor health care provider with primary practice located at 3156 State St , Medford OR 97504-8450. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Humerez, Sonia L can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
3156 State St Medford OR 97504-8450
Phone: (541) 476-2373
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0092281 New Mexico

Profile Details

NPI number 1740359488
LBN Legal business name Humerez, Sonia L
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jan 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740359488 NPPES
New Mexico MEDICAID 46300
New Mexico MEDICAID 76955869

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