Provider Demographics
NPI:1669682795
Name:CLIFFORD, SOPHIA MARIE (BA, CADTP)
Entity Type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:MARIE
Last Name:CLIFFORD
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Gender:F
Credentials:BA, CADTP
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Mailing Address - Street 1:2403 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-3007
Mailing Address - Country:US
Mailing Address - Phone:707-544-3295
Mailing Address - Fax:707-544-9011
Practice Address - Street 1:2403 PROFESSIONAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-3007
Practice Address - Country:US
Practice Address - Phone:707-544-3295
Practice Address - Fax:707-544-9011
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2019-10-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)