Provider Demographics
NPI:1316827272
Name:SORIA, CHRISTINA
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SORIA
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:PO BOX 238
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CA
Mailing Address - Zip Code:95686-0238
Mailing Address - Country:US
Mailing Address - Phone:209-794-2376
Mailing Address - Fax:209-794-2230
Practice Address - Street 1:26675 N SACRAMENTO BLVD
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CA
Practice Address - Zip Code:95686-7119
Practice Address - Country:US
Practice Address - Phone:209-794-2376
Practice Address - Fax:209-794-2230
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool