Provider Demographics
NPI:1639541782
Name:YOUNT SECKINGER, SONJA (LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:YOUNT SECKINGER
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2487 WEST ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2139
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5299 COLLEGE AVE
Practice Address - Street 2:SUITE P
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-2808
Practice Address - Country:US
Practice Address - Phone:510-594-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA375101YP2500X
CA51206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional