Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sofia Ekaterina Pettygrove

Individual provider Professional Counselor · NPI 1225548209

Sofia Ekaterina Pettygrove is a Professional Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2020 Coffee Rd Ste A-5
Modesto, CA 95355-2427
Phone: (209) 338-7361
Fax: (209) 232-7093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 123864 (CA)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1225548209
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2017
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

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