IMOGEN WORMWOOD

Local Education Agency (LEA)

NPI: 1669046389Individual

Specialties, Licenses & Credentials

Local Education Agency (LEA)Primary

Local Education Agency (LEA)

Code: 251300000X

Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address: 4415 SONOMA HWY
SANTA ROSA, CA 95409
Phone: (707) 327-0909

Location

Practice Location

4415 SONOMA HWY, SANTA ROSA, CA

Quick Facts

NPI: 1669046389
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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