Provider Demographics
NPI:1730057753
Name:LORENZANA, MARIA SOLEDAD
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:SOLEDAD
Last Name:LORENZANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3297 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-4201
Mailing Address - Country:US
Mailing Address - Phone:707-546-7050
Mailing Address - Fax:
Practice Address - Street 1:1777 WEST AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-7449
Practice Address - Country:US
Practice Address - Phone:707-546-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor