Provider Demographics
NPI:1275870131
Name:SOTO, ANGELA RITA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RITA
Last Name:SOTO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:RITA
Other - Last Name:CARLOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:99 ALMADEN BLVD. STE 600
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95113-1605
Mailing Address - Country:US
Mailing Address - Phone:909-532-9090
Mailing Address - Fax:951-755-8915
Practice Address - Street 1:99 ALMADEN BLVD STE 600
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-1605
Practice Address - Country:US
Practice Address - Phone:909-532-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-12
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CALMFT99685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist