Provider Demographics
NPI:1255659298
Name:VANCE TOVREA, AUBREE NICOLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AUBREE
Middle Name:NICOLE
Last Name:VANCE TOVREA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:AUBREE
Other - Middle Name:NICOLE
Other - Last Name:VANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:620 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-7002
Mailing Address - Country:US
Mailing Address - Phone:951-553-0936
Mailing Address - Fax:
Practice Address - Street 1:620 BROADWAY
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-7002
Practice Address - Country:US
Practice Address - Phone:707-939-5862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW67595101YM0800X
171M00000X
CA884801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator