Provider Demographics
NPI:1568256915
Name:SORIANO, CECILIA (AMFT)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:SORIANO
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:SORIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CECI SORIANO, AMFT
Mailing Address - Street 1:600 W DUELL ST
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4719
Mailing Address - Country:US
Mailing Address - Phone:626-224-0888
Mailing Address - Fax:
Practice Address - Street 1:600 W DUELL ST
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4719
Practice Address - Country:US
Practice Address - Phone:626-224-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15144101YM0800X
CA145316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health